Care Plan : 5 of 9.5 (52.6%)
Nursing Diagnosis
2 out of 2.5
Nursing Diagnoses: Definitions & Classifications 2018-2020 © NANDA-International,
2017 used by arrangement with Thieme Medical Publishers, Inc., a division
...
Care Plan : 5 of 9.5 (52.6%)
Nursing Diagnosis
2 out of 2.5
Nursing Diagnoses: Definitions & Classifications 2018-2020 © NANDA-International,
2017 used by arrangement with Thieme Medical Publishers, Inc., a division of the
Thieme Group. All rights reserved. Authorized translation from the English language
edition published by Thieme Medican Publishers Inc. No part of this material may be
reproduced in any form without the written permission of the agent of the copyright
holder, NANDA-International. Direct inquires to
[email protected]. Link for more
information: http://www.nanda.org/.
Status
Student
Response
Model
Answer
Explanation Points
Earned
exhibits exhibits Edward's problem is occurring presently, not
hypothetically, so the correct answer is "exhibits".
0.5 out of
0.5
Diagnosis
Student
Response
Model
Answer
Explanation Points
Earned
impaired
urinary
elimination
impaired
urinary
elimination
While Edward has been experiencing acute pain,
he states that the hydromorphone has brought his
pain level down to a 2/10, which is acceptable to
him. Now is an appropriate time to address
Edward's non-pain symptom, his impaired urinary
elimination.
0.5 out
of 0.5
Etiologies
Student
Response
Model
Answer
Explanation Points
Earned
kidney
stones
kidney
stones
Kidney stones can irritate the bladder, impact urinary
habits, and produce blood that is visible in the urine.
The other conditions would not impact urinary
elimination in Edward's case.
0.5 out
of 0.5
Signs & Symptoms
Student
Response
Model
Answer
Explanation Points
Earned
blood in urine blood in
urine
Edward's urinary habits are impacted via the
increase to his urinary frequency and the
blood in his urine.
0.5 out of
0.5
pain in lower lef
side of back
frequent
urination
Edward's urinary habits are impacted via the
increase to his urinary frequency and the
blood in his urine.
0 out of
0.5
Self Assessment
Your answer is not automatically evaluated by the simulation, but may be reviewed by
your instructor.
Prompt Student
Response
Model Answer Explanation
Why would
Acute Pain be a
less urgent
diagnosis for
Edward has no
history of
kidney stones
and has chronic
Edward's pain is currently
mitigated by
hydromorphone; he reports
his pain is at a 2 out of 10,
The diagnosis that's
most appropriate at a
given time can change
in tandem with the
Edward
compared to
Impaired
Urinary
Elimination
given his
treatment thus
far?
kidney disease.
It will be
important to
maintain the
health of his
kidneys so not
to damange
them any
further.
and that this level does not
bother him. Because the
patient is satisfied with his
current pain level, it is
appropriate to move onto his
as of yet unaddressed
symptoms: increased urinary
frequency and blood in his
urine.
circumstances of the
case. Checking in with
your patient about
their experience of
current symptoms can
clue you into what
needs addressing most
urgently.
Planning
3 out of 4.5
Short-Term Goal
Student Response Model Answer Explanation Points
Earned
To have the patient,
within 12-24 hours,
report that urine is no
longer pink, and that
his urinary frequency
has been reduced to
once per hour.
To have the patient,
within 24-48 hours,
report that urine is no
longer pink, and that
his urinary frequency
has been reduced to
once per two hours.
Though these goals are similar,
the correct answer is defined by
an appropriate 24-48 hour time
frame to allow for medication to
take effect, as well as including
both urinary symptoms so you
can assess the complete
picture.
