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A nurse is developing a plan of care for a client with a chronic respiratory problem. When developing appropriate nursing diagnoses for this client, the nurse needs to keep in mind that:


A) the interventions planned must be within the nurse's scope of practice.
B) the problem's existence requires validation by the physician.
C) the main focus is on monitoring the body's pathophysiologic response.
D) The signs and symptoms of the disease are part of the information conveyed.

E) A) and D)
F) All of the above

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A client has significant problems related to breathing for which the nurse identifies several nursing diagnostic labels, including ineffective breathing pattern and impaired gas exchange. The nurse understands that these diagnostic labels are based on which organizing framework?


A) Functional health patterns
B) Body system affected
C) Maslow's hierarchy
D) Reimbursement codes

E) None of the above
F) A) and B)

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Which statement appropriately identifies a nursing diagnosis reflecting vulnerability of a woman 78 years of age who is confined to bed?


A) Ineffective airway clearance related to bed rest
B) Immobility related to confinement to bed
C) Potential for pneumonia related to inactivity
D) Risk for impaired skin integrity related to bed rest

E) A) and B)
F) A) and C)

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