NURSING DIAGNOSIS PRIORITIZATION WORKSHEET
QUESTIONS WITH DETAILED VERIFIED AND 100%
ACCURATE ANSWERS
You are caring for a patient. All of the following nursing diagnoses are
appropriate for your patient, however, you've been asked to select one
priority nursing diagnosis for this patient. Which nursing diagnosis
would you select?
a. ineffective airway clearance
b. ineffective breathing pattern
c. decreased cardiac output
d. ineffective peripheral tissue perfusion Correct Answers a.
Your patient is bleeding and his vital signs are as follows: BP 80/42, P
124, R 18, T 98.8, O2 Sat 89%. The patient reports dyspnea at rest and is
lightheaded. Which of the following nursing diagnoses is your priority?
a. activity intolerance (level IV)
b. fluid volume deficit
c. impaired gas exchanged. ineffective tissue perfusion
d. ineffective tissue perfusion Correct Answers c.
You have identified Ineffective breathing pattern as the priority nursing
diagnosis for your adult patient. Which of the following assessment data
would you include in your "as evidenced by" statement? Select all that
apply.
a. respiratory rate of 36
b. dyspnea
, c. blood pressure of 80/60
d. shallow respirations
e. orthopnea Correct Answers a. b. d. e.
You are caring for an 82-year-old female in a long-term care facility.
The patient is diabetic and has developed a wound on her foot. You have
identified Ineffective peripheral tissue perfusion as your priority nursing
diagnosis. Which of the following would be the most appropriate
"related to" statement?
a. physical immobilization
b. neuromuscular impairment
c. moisture
d. poor glycemic control Correct Answers d.
Janessa is a 5-year-old cystic fibrosis patient. She is quiet and
withdrawn, even though you've cared for her over the past 3 shifts. She
has dyspnea on exertion and requires 2 liters of oxygen per nasal
cannula to keep her oxygen saturations above 95%. She coughs up thick,
yellow sputum after her nebulizer treatment with chest percussion
therapy. Which of the following would be an actual priority physical
nursing diagnosis for Janessa?
a. risk for infection
b. imbalanced nutrition: less than body requirements
c. compromised family coping
d. ineffective airway clearance Correct Answers d.
QUESTIONS WITH DETAILED VERIFIED AND 100%
ACCURATE ANSWERS
You are caring for a patient. All of the following nursing diagnoses are
appropriate for your patient, however, you've been asked to select one
priority nursing diagnosis for this patient. Which nursing diagnosis
would you select?
a. ineffective airway clearance
b. ineffective breathing pattern
c. decreased cardiac output
d. ineffective peripheral tissue perfusion Correct Answers a.
Your patient is bleeding and his vital signs are as follows: BP 80/42, P
124, R 18, T 98.8, O2 Sat 89%. The patient reports dyspnea at rest and is
lightheaded. Which of the following nursing diagnoses is your priority?
a. activity intolerance (level IV)
b. fluid volume deficit
c. impaired gas exchanged. ineffective tissue perfusion
d. ineffective tissue perfusion Correct Answers c.
You have identified Ineffective breathing pattern as the priority nursing
diagnosis for your adult patient. Which of the following assessment data
would you include in your "as evidenced by" statement? Select all that
apply.
a. respiratory rate of 36
b. dyspnea
, c. blood pressure of 80/60
d. shallow respirations
e. orthopnea Correct Answers a. b. d. e.
You are caring for an 82-year-old female in a long-term care facility.
The patient is diabetic and has developed a wound on her foot. You have
identified Ineffective peripheral tissue perfusion as your priority nursing
diagnosis. Which of the following would be the most appropriate
"related to" statement?
a. physical immobilization
b. neuromuscular impairment
c. moisture
d. poor glycemic control Correct Answers d.
Janessa is a 5-year-old cystic fibrosis patient. She is quiet and
withdrawn, even though you've cared for her over the past 3 shifts. She
has dyspnea on exertion and requires 2 liters of oxygen per nasal
cannula to keep her oxygen saturations above 95%. She coughs up thick,
yellow sputum after her nebulizer treatment with chest percussion
therapy. Which of the following would be an actual priority physical
nursing diagnosis for Janessa?
a. risk for infection
b. imbalanced nutrition: less than body requirements
c. compromised family coping
d. ineffective airway clearance Correct Answers d.
