Foundations Final Exam stuff Questions And Answers

A nursing diagnosis is written as disturbed body image related to scar on the left side of the face. What does the phrase " Disturbed Body Image" identify? - The expected outcome of the plan of care - The major defying characteristics of a health problem - The health state of problem of the client - A Client determining a health problem - ANS The health state of problem of the client A client has been admitted to your unit with SOB.The O2 Stat is 90% on 2L via nasal cannula. What would be the most priority nursing diagnosis for the nurse to use to address this problem? - Risk for fall related to inadequate ventilation - Self Care deficit related to SOB -Ineffective Breathing Pattern related to inadequate ventilation - Impaired verbal Communication - ANS Ineffective Breathing Pattern related to inadequate ventilation A nurse documents the following in the clients chart: lungs are clear to auscuation. This is an example of what aspect of the client care? - Nursing evaluation -Nursing plan - Nursing assessment -Nursing diagnosis - ANS assessment A client has been admitted to the hospital for the treatment of pneumonia. Which statement constitutes a long term outcome for this client? - The client wll expess an understanding of strategies for managing fatigue and SOB - The clent will return home able to conduct ADLs without experiencing SOB - The client will demonstrate the correct use of the incentive spirometer - The client will abulate 100 feet without suppementary oxygen or mobility aids - ANS The clent will return home able to conduct ADLs without experiencing SOB The nurse is developing goals for a client who has been admitted for newly diagnosed diabetes. What goal written by the nurse requires revision?