Exam 5: Assessment, Nursing Diagnosis, and Planning

An older adult patient with a medical diagnosis of chronic lung disease has developed pneumonia. She is coughing frequently and expectorating thick, sticky secretions. She is very short of breath, even with oxygen running, and she is exhausted and says she "can't breathe." Based on this information, an appropriately worded nursing diagnosis for this patient is:

If a patient has several nursing diagnoses, the nurse will first:

The nurse designs the goals for patients in long-term facilities to be:

After the admission assessment is completed, on subsequent shifts or days, the nurse:

Appropriate nursing roles in the initial assessment would include: (Select all that apply.)

When the patient complains of nausea and dizziness, the nurse recognizes these complaints as _______ data.

Conclusions that have been made based on observed data are __________.

The nursing diagnoses that has the highest priority is:

Aside from the information obtained from the patient (primary source) in the admission interview, the nurse will also access: (Select all that apply.)

The nurse takes into consideration that the difference between a sign and a symptom is that a sign is:

In an acute care facility, a nursing care plan is usually reviewed and updated:

Theresa is a nurse caring for a 14-year-old girl who is admitted with an asthma attack. When she writes the nursing diagnosis statement she includes?