Exam 7: Nursing Diagnosis

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The nurse is caring for a patient diagnosed with blood clots in the right lower extremity. The admitting provider orders bed rest. The patient tells the nurse, "I usually exercise three times a week. It helps me go to the bathroom." The nurse determines that the patient may have difficulty with bowel movements. Which Nursing diagnosis statement accurately reflects the nurse's concern?

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A nurse completes a care plan for an assigned patient diagnosed with an inflammation of the pericardium. Which diagnosis written on the plan indicates a need for further instruction on using the nursing process?

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The nurse in an outpatient clinic obtains a blood pressure of 190/88 mm Hg on a patient diagnosed with high blood pressure. The patient tells the nurse, "My blood pressure medicine is really expensive. Do you think I really need it?" The nurse assumes the patient is not taking the medication based on the blood pressure result and the patient's statement and chooses lack of knowledge as a diagnostic label. The nurse identifies the action taken is an example of what concept of Nursing diagnosis formation?

(Multiple Choice)
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The nurse is developing a plan of care for a patient who had a stroke. Assessment findings include weakness in right upper and lower extremities, numbness in face, slurred speech, difficulty with walking and balance, and headache. The nurse identifies which response would best represent the etiology of the patient's gait and balance problems?

(Multiple Choice)
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