Which of the following is an example of a nursing diagnosis?
Skin breakdown
Elevated blood pressure
Anxiety
Ineffective breathing pattern
The Correct Answer is D
A. Skin breakdown: This is a medical problem or symptom, but it is not a structured nursing diagnosis.
B. Elevated blood pressure: This is a clinical finding rather than a nursing diagnosis.
C. Anxiety: While anxiety is a medical condition, a complete nursing diagnosis should describe the specific effects on the patient, such as "Anxiety related to hospitalization as evidenced by restlessness and increased heart rate."
D. Ineffective breathing pattern: This is a standardized nursing diagnosis as defined by NANDA (North American Nursing Diagnosis Association). It refers to altered respiratory function that nurses can assess and manage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
A. Diarrhea: TCAs cause anticholinergic effects, which more commonly lead to constipation rather than diarrhea.
B. Weight gain/loss: Weight gain is a common side effect of TCAs, though some clients may experience weight loss.
C. Bradycardia: TCAs are more likely to cause tachycardia, arrhythmias, and orthostatic hypotension, not bradycardia.
D. Sexual dysfunction: TCAs can cause sexual dysfunction, including decreased libido, erectile dysfunction, and anorgasmia.
Correct Answer is C
Explanation
A. Temperature: While temperature monitoring is important, hypothermia is not the most immediate concern after general anesthesia.
B. Heart rate: Although heart rate should be monitored, it is not the first priority in assessing an anesthetized patient.
C. Respirations: Airway and breathing are the top priorities in the PACU. General anesthesia can depress respiratory function, increasing the risk of airway obstruction or hypoventilation. Ensuring adequate ventilation is the first step in assessment.
D. Blood pressure: Blood pressure is important but secondary to airway and breathing in the initial assessment.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.