Which statement is written in the correct form for an actual nursing diagnosis?
Correct answer: A. Impaired skin integrity related to immobility as evidenced by a sacral wound
- A. Impaired skin integrity related to immobility as evidenced by a sacral wound
- B. Pneumonia related to fever as evidenced by abnormal breath sounds
- C. Risk for falls related to unsteady gait as evidenced by a previous fall
- D. Acute pain related to appendicitis as evidenced by a surgical incision
Explanation
An actual nursing diagnosis includes the problem, related cause and supporting signs or symptoms. Pneumonia and appendicitis are medical diagnoses, while a risk diagnosis has no current signs and symptoms.
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About Nursing Process and Health Assessment
Assessment gathers subjective and objective data through health history, physical examination and observation. The nursing process then uses nursing diagnoses, planning, implementation and evaluation to provide individualised care, while distinguishing a nursing diagnosis from a medical diagnosis and identifying priorities such as airway, breathing, circulation and safety.
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