Question

1. You are a nurse admitting a patient to the hospital from the emergency department (ED) with shortness of breath and recent weight loss. After receiving a report from the ED nurse, you ready the patient’s room according to unit specifications and collect the necessary equipment and forms. When the patient arrives, she is using oxygen via a nasal cannula and seems to be comfortable. As you begin your admission activities and paperwork, you note that her shortness of breath slightly increases as she answers your questions. Accompanying the patient is her daughter, who comments, “This is the fourth time she’s been admitted to this hospital in the past year.” The patient and her daughter demonstrate a close, loving relationship. The daughter not only encourages her mother, but also sets boundaries regarding her mother’s anxiety. (Learning Objectives #1 & #3)
   1. What data in this scenario are pertinent?
   2. Which conditions within the case study could be addressed by nursing diagnoses?
   3. Which conditions within the case study would be addressed by a medical diagnosis?
   4. How are medical diagnoses, collaborative diagnoses, and nursing diagnoses different?
   5. Compare how a medical diagnosis is written versus a nursing diagnosis.

2. You are a nurse preparing to receive a new patient, fresh from surgery, to your unit. The patient is a 71-year-old man who underwent a surgical repair of a fractured femur. As you receive a report from the postanesthesia recovery unit, you learn that his medical history includes hypertension, 40 pack-years of smoking, and COPD. His surgical repair was successful but complicated by excessive bleeding, and he is receiving IV fluids to compensate. He is widowed, and his three children are scattered throughout the United States. He lives alone, receives Meals on Wheels, and pays a cleaning service to keep his home clean. (Learning Objective #6)
   1. What data in this scenario are pertinent?
   2. What potential collaborative problem(s) could be applicable in this situation?
   3. Which nursing diagnoses would you expect to be applicable regarding the medical procedures in this situation?
   4. Which nursing diagnoses would you expect to be applicable regarding the nursing/medical history in this situation?
   5. Which nursing diagnoses would you expect to be applicable regarding the discharge planning in this situation?
   6. You are a nurse admitting a patient to the hospital from the emergency department (ED) with shortness of breath and recent weight loss. After receiving a report from the ED nurse, you ready the patient’s room according to unit specifications and collect the necessary equipment and forms. When the patient arrives, she is using oxygen via a nasal cannula and seems to be comfortable. As you begin your admission activities and paperwork, you note that her shortness of breath slightly increases as she answers your questions. Accompanying the patient is her daughter, who comments, “This is the fourth time she’s been admitted to this hospital in the past year.” The patient and her daughter demonstrate a close, loving relationship. The daughter not only encourages her mother, but also sets boundaries regarding her mother’s anxiety. (Learning Objectives #1 & #3)
      1. What data in this scenario are pertinent?
      2. Which conditions within the case study could be addressed by nursing diagnoses?
      3. Which conditions within the case study would be addressed by a medical diagnosis?
      4. How are medical diagnoses, collaborative diagnoses, and nursing diagnoses different?
      5. Compare how a medical diagnosis is written versus a nursing diagnosis.
   8. You are a nurse preparing to receive a new patient, fresh from surgery, to your unit. The patient is a 71-year-old man who underwent a surgical repair of a fractured femur. As you receive a report from the postanesthesia recovery unit, you learn that his medical history includes hypertension, 40 pack-years of smoking, and COPD. His surgical repair was successful but complicated by excessive bleeding, and he is receiving IV fluids to compensate. He is widowed, and his three children are scattered throughout the United States. He lives alone, receives Meals on Wheels, and pays a cleaning service to keep his home clean. (Learning Objective #6)
      1. What data in this scenario are pertinent?
      2. What potential collaborative problem(s) could be applicable in this situation?
      3. Which nursing diagnoses would you expect to be applicable regarding the medical procedures in this situation?
      4. Which nursing diagnoses would you expect to be applicable regarding the nursing/medical history in this situation?
      5. Which nursing diagnoses would you expect to be applicable regarding the discharge planning in this situation?

Answer 1

A. Pertinent data in this scenario :shortness of breath, recent weight loss, uses oxygen by nasal canula, shortness of breath increases with time. The condition is recurring. As the daughter is close to the mother the information is reliable.

B. Conditions addressed by nursing diagnosis :

nursing diagnosis is the nursing process and is a clinical judgment about individual, family, or community experiences or responses to actual or potential health problems or life processes.

nursing diagnosis identifies the unique ways in which individuals respond to health or life processes or crises. The nursing diagnostic process is unique among others. A nursing diagnosis integrates patient involvement when possible throughout the process.

C. Conditions addressed by medical diagnosis :

medical diagnosis identifies a disorder by asking clinical questions related to disease.

Like chief complaints, history of present illness, history of past illness, family history, physical examination.

D. Nursing diagnosis :nursing diagnosis is a clinical judgment;

Medical diagnosis : medical diagnosis is the identification of a disease condition based on a specific evaluation of physical signs, symptoms, and the patients medical history.

Collaborvative diagnosis :collaborative way of diagnosis keeps the patient at the center of the process. so that they can make the best decisions regarding their own healthcare.