The client has a documented stage II pressure ulcer on the right hip. What NANDA nursing diagnosis problem statement is most appropriate to use with this client?

Risk for Injury

Altered Tissue Perfusion

Impaired Tissue Integrity

Impaired Skin Integrity

Answer and Explanation

The Correct Answer is D

A stage II pressure ulcer is a wound that involves partial-thickness loss of skin. The most appropriate NANDA nursing diagnosis problem statement for a client with this condition would be Impaired Skin Integrity. This diagnosis reﬂects the fact that the client's skin has been damaged and is no longer intact. Risk for Injury, Altered Tissue Perfusion, and Impaired Tissue Integrity are also NANDA nursing diagnoses, but they are not as specific or relevant to the client's condition as Impaired Skin Integrity.

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Correct Answer is D

Explanation

Heart failure is a condition in which the heart is unable to pump blood eﬀectively, leading to a buildup of ﬂuid in the body. This can result in edema (swelling) and ﬂuid accumulation in the lungs, causing coarse crackles when breathing. The term for this condition is ﬂuid volume excess, which refers to an excessive amount of ﬂuid in the body.

Myocardial infarction is a heart attack, atelectasis is a collapse of lung tissue, and ﬂuid volume deficit refers to a lack of ﬂuid in the body.

A. Willing to learn from clients B. Motivated to provide the best of her abilities C. Aware of how beliefs and values inﬂuence others D. Accepts responsibility for one's actions e) Advocate for all clients E. All of the above

Correct Answer is A

Explanation

All of the options listed (Willing to learn from clients, Motivated to provide to the best of her abilities, Aware of how beliefs and values inﬂuence others, Accepting responsibility for one's actions, and advocating for all clients) are attributes of a professional nurse. A professional nurse should be willing to learn from their clients and be motivated to provide the best care possible. They should also be aware of how their beliefs and values can inﬂuence others and accept responsibility for their actions. Additionally, a professional nurse should advocate for all clients.

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The client has a documented stage II pressure ulcer on the right hip. What NANDA nursing diagnosis problem statement is most appropriate to use with this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client is admitted to the nurse's unit with a diagnosis of heart failure. His heart is not pumping eﬀectively, which is resulting in edema and coarse crackles in his lungs. The term for this condition is:

Correct Answer is D

Explanation

The attributes of a professional nurse are:

Correct Answer is A

Explanation

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