Crystal Established Nursing Question & Answer Guide (With Explanation)

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What This Question Is About

This question relates to crystal established nursing and requires a structured academic response.

How to Approach This Question

Structure your response with introduction, analysis, and conclusion.

Key Explanation

This topic involves crystal established nursing. A strong answer should include explanation, application, and examples.

Original Question

Crystal now has established a nursing diagnosis. This is an example of which of the following types of nursing diagnoses? A. Actual nursing diagnosis B. Risk nursing diagnosis C. Wellness nursing diagnosis D. Health promotional nursing diagnosis Planning Nursing Care Mr. Rhodes, the patient who was being cared for by Crystal in the previous chapter case study, is diagnosed with appendicitis. The surgeon schedules his surgery for that afternoon at 1300. Crystal continues to develop his care plan. Mr. Rhodes has never had surgery and tells Crystal that the thought of surgery makes him very nervous. 1. Crystal wants to add information to his care plan now that the surgery has been scheduled. Which one of the following is an important expected outcome for Mr. Rhodes regarding surgery? A. Is able to describe the importance of postoperative exercises before going to surgery B. Demonstrates use of the call bell if he needs something after surgery C. Will not vomit after surgery D. Learns about postoperative exercises to prevent blood clots 2. Crystal has two nursing diagnoses on Mr. Rhodes’ care plan. Which of these is the priority for Crystal? A. Imbalanced nutrition: less than body requirements related to decreased ability to ingest food as a result of vomiting B. Deficient knowledge regarding postoperative care related to lack of exposure to information 3. Which of the following interventions is written correctly for Crystal to add to Mr. Rhodes’ care plan? A. Provide frequent mouth care B. Keep NPO C. Reposition in bed every 2 hours D. Offer 30 ml of water hourly while awake Implementing Nursing Care Mr. Rhodes, a firefighter, returns from surgery and has an uneventful evening and night. Crystal, the student nurse, will be caring for Mr. Rhodes this morning. She is planning her morning and determines from his care plan and orders that he will need to ambulate this morning, have his dressing changed, and then be discharged to home. Crystal looks at the preprinted orders that Mr. Rhodes’ physician uses for routine dressing changes on his patients who have had an appendectomy. These are examples of which type of standard nursing interventions? After Crystal changes Mr. Rhodes’ dressing, she sits down and documents the dressing change. Is documentation considered direct or indirect care? While changing Mr. Rhodes’ dressing, Crystal uses infection control measures. What type of nursing care is this? A. Teaching B. Lifesaving measures C. Activities of daily living D. Controlling for adverse reactions Evaluation Mr. Rhodes is getting ready to go home from the hospital after an appendectomy. Crystal, his student nurse, is getting things ready for the discharge. Crystal evaluates his goals from the care plan. His diagnosis was determined to be Imbalanced nutrition: less than body requirements related to decreased ability to ingest food as a result of vomiting. The goal that was established for the nursing diagnosis is the following: Patient will ingest 2000 calories/day of a regular diet by discharge. 1. What evaluative measures are appropriate for Crystal to use for this goal? (Select all that apply.) A. Measure caloric intake. B. Weigh patient to monitor for weight gain or stabilization. C. Patient will eat ice cream. D. Patient reports no nausea after meals. E. Patient has not vomited for past 24 hours

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