Focus Exam RSV care plan

Care Plan : 9 of 9 (100.0%)

Nursing Diagnosis3.5 out of 3.5

Nursing Diagnoses: Definitions & Classifications 2018-2020 © NANDA-International, 2017 used by
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Status

Student Response Model Answer Explanation Points
Earned


exhibits exhibits The correct status for 0.5 out
the nursing diagnosis of 0.5
is "exhibits," because
Eden's current
behavior shows
respiratory distress.
This is not a risk but is
present.




Diagnosis

Student Response Model Answer Explanation Points
Earned


ineffective airway ineffective airway Eden's condition 0.5 out
clearance clearance indicates she is of 0.5
experiencing
ineffective airway
clearance.

, Etiologies

Student Response Model Answer Explanation Points
Earned


respiratory distress respiratory distress Eden's diagnosis is 0.5 out
ineffective airway of 0.5
clearance as it relates
to her respiratory
distress.




Signs & Symptoms

Student Response Model Answer Explanation Points
Earned


wheezing wheezing Eden's diagnosis is 0.5 out
ineffective airway of 0.5
clearance as related to
respiratory distress as
evidenced by
wheezing, retractions,
respiratory rate of 62,
and excessive mucus.