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EDAPT- Clinical Judgement

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EDAPT- Clinical Judgement Select the statement that best describes a problem oriented nursing diagnosis - ✔✔Diagnostic label/related to statement/defining characteristics Attention to details, or cues, is key to successful patient care. It can also be a challenge. The video below will challenge your ability to see the details despite distractions. - ✔✔13 The boxes below represent containers on a Care Focused Concept Map. Using the drop-down menu, indicate which step of the nursing process aligns with each container in the care focus concept map. - ✔✔ASSESSMENT INTERVENTION PLANNING EVALUATION DIAGNOSIS After reviewing the nurse's notes and selecting the cues that require follow-up, the nurse now clusters the related cues to assist in identifying health promotion, risk for, or actual problems. Note: Some cues may apply to both clusters. - ✔✔Risk for Infection Transmission cues: loss of smell and taste temperature 101.3 F generalized muscle pain treating patients through the current global health pandemic fatigue voices concern related to continued exposure of wife and son not able to afford to quarantine outside the apartment running out of personal protective equipment Interrupted Family Processes cues: voices concern related to continued exposure of wife and son not able to afford to quarantine outside the apartment fatigue After reviewing the nurse's notes and selecting the cues, the nurse now selects a nursing diagnosis. Using a nursing diagnosis textbook, select the most appropriate diagnosis label and related to statement, based on Sami's information. - ✔✔Nursing diagnosis 1: Risk for infection transmission related to exposure to a contagious respiratory disease. Nursing Diagnosis 2: Interrupted family processes related to disrupted normal routine as evidenced by inability to meet physical and emotional needs of family. Which is the priority nursing diagnosis? - ✔✔Risk for infection transmission related to exposure to a contagious respiratory disease Drag each item (taken from Sami's Nursing Diagnosis and Plan of Care) to the correct location on the Care Focused Concept Map. - ✔✔Nursing Diagnosis- Risk for infection transmission related to exposure to a contagious respiratory disease. Expected Outcome- Client has infection prevention resources to protect family during home quarantine. Interventions- Educate: household quarantine procedures. Provide: masks, hand soap, sanitizer, gloves. Using a nursing diagnosis text, match the cues from the admission assessment to type of data for each potential nursing diagnosis. - ✔✔Activity intolerance cues include: Shortness of breath when walking, irregular heart rhythm and low oxygen saturation levels Decreased cardiac output cues include: Weight gain, irregular heart rhythm, low oxygen saturation at rest, and dependent edema (areas below the heart) Impaired gas exchange: Not being able to catch her breath, increased respirations, and low oxygen saturation levels Select the most appropriate nursing diagnosis for Mrs. Votaw by selecting the words or phrases that complete the sentence below: - ✔✔Impaired gas exchange related to fluid imbalance as evidenced by hypoxemia and bibasilar crackles. Based on your knowledge of Mrs. Votaw's current health response, use a nursing diagnosis text to select priority collaborative outcomes for the current nursing diagnosis. Select all that apply. - ✔✔O2 sat >95% clear lungs on auscultation Select the words or phrases in the sentences below t

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