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The patient is confined to bed rest. This contributes to immobility of the patient. How should bed rest be indicated on the nursing care plan?

A.

as difficult to maintain

B.

as a risk factor

C.

as a nursing responsibility

D.

as contributing to the patient's recovery

Answer and Explanation

The Correct Answer is B

A. As difficult to maintain: This is a subjective statement and not a proper nursing diagnosis.

B. As a risk factor: Bed rest increases the risk of complications such as pressure ulcers, deep vein thrombosis (DVT), and muscle atrophy.

C. As a nursing responsibility: While nurses help manage bed rest, it is not classified as a responsibility but as an intervention.

D. As contributing to the patient's recovery: Although bed rest may be necessary, prolonged immobility can have negative effects, making this statement incomplete.


 


 


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Related Questions

Correct Answer is B

Explanation

A. Evaluation, planning, assessment, implementation: Evaluation is the last step, not the first.

B. Assessment, planning, implementation, evaluation
The correct order of the nursing process is:

  1. Assessment – Gather data

  2. Planning – Develop goals and interventions

  3. Implementation – Carry out the plan

  4. Evaluation – Determine effectiveness and adjust as needed

C. Implementation, assessment, planning, evaluation: Assessment must come first before implementing any plan.

D. Planning, evaluation, assessment, implementation: Planning comes after assessment, and evaluation is last, not second.

Correct Answer is C

Explanation

A. The patient is vulnerable to develop the problem: This describes a risk diagnosis, where the patient has the potential to develop a condition but does not currently have it.

B. There is no evidence of defining characteristics: An actual nursing diagnosis must have defining characteristics (symptoms/signs).

C. A condition is currently present: An actual nursing diagnosis means the condition is already present, with observable signs and symptoms.

D. It is written as a two-part statement: Actual nursing diagnoses use a three-part statement:

  1. Problem (diagnosis)

  2. Etiology (cause)

  3. Signs and Symptoms (evidence)



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