Diagnosis NCLEX
A registered nurse is formulating nursing diagnoses for a patient with
multiple
Which fractures.
actions does the nurse take during this step of the nursing process?
Select all
that
apply.
A. Conducting a nursing interview to collect
patient
B. data data collected in the nursing
Analyzing
assessment
C. Developing a care plan for the
patient
D. Pointing out the patient's
strengths
E. Assessing the patient's mental
status
F. Identifying community resources to help the family cope correct
answers B.data collected in the nursing
Analyzing
assessment
D. Pointing out the patient's
strengths
F. Identifying community resources to help the
family cope
A nurse is caring for a patient who presents with dyspnea, tachypnea,
productive
fever, cough,
and low oxygen saturation. When developing the nursing care plan,
which health
problems might the nurse identify for this patient? Select all
that apply.
Bronchial
pneumonia
Impaired gas
exchange
Impaired Respiratory System
Function
Altered breathing
pattern
Impaired Thermoregulation correct answers Impaired gas
exchange
Impaired Respiratory System
Function
Altered breathing
pattern
Impaired
Thermoregulation
After assessing a patient recovering from a stroke in a rehabilitation facility,
the nurse's
initial analysis suggests a potential health problem of situational low self-
esteem.
will How record the problem when they believe more data are
the nurse
needed?
A. No
problem
B. Possible
problem
C. Actual nursing
D. Clinical problem other than nursing correct answers B. Possible
diagnosis
problem
When caring for a patient who sustained a spinal cord injury, the nurse
formulates the
health
problem:
Impaired Tissue
Integrity
Etiology: sensory and motor
deficit
Signs and symptoms: difficulty turning, reddened areas on heels
and sacrum
Which phrase gives direction to the underlying cause of the
problem?
Impaired Tissue
Integrity
Sensory and motor
deficit
A registered nurse is formulating nursing diagnoses for a patient with
multiple
Which fractures.
actions does the nurse take during this step of the nursing process?
Select all
that
apply.
A. Conducting a nursing interview to collect
patient
B. data data collected in the nursing
Analyzing
assessment
C. Developing a care plan for the
patient
D. Pointing out the patient's
strengths
E. Assessing the patient's mental
status
F. Identifying community resources to help the family cope correct
answers B.data collected in the nursing
Analyzing
assessment
D. Pointing out the patient's
strengths
F. Identifying community resources to help the
family cope
A nurse is caring for a patient who presents with dyspnea, tachypnea,
productive
fever, cough,
and low oxygen saturation. When developing the nursing care plan,
which health
problems might the nurse identify for this patient? Select all
that apply.
Bronchial
pneumonia
Impaired gas
exchange
Impaired Respiratory System
Function
Altered breathing
pattern
Impaired Thermoregulation correct answers Impaired gas
exchange
Impaired Respiratory System
Function
Altered breathing
pattern
Impaired
Thermoregulation
After assessing a patient recovering from a stroke in a rehabilitation facility,
the nurse's
initial analysis suggests a potential health problem of situational low self-
esteem.
will How record the problem when they believe more data are
the nurse
needed?
A. No
problem
B. Possible
problem
C. Actual nursing
D. Clinical problem other than nursing correct answers B. Possible
diagnosis
problem
When caring for a patient who sustained a spinal cord injury, the nurse
formulates the
health
problem:
Impaired Tissue
Integrity
Etiology: sensory and motor
deficit
Signs and symptoms: difficulty turning, reddened areas on heels
and sacrum
Which phrase gives direction to the underlying cause of the
problem?
Impaired Tissue
Integrity
Sensory and motor
deficit
