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Focus Exam RSV care plan
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Care Plan : 9 of 9 (100.0%)Nursing Diagnosis3.5 out of 3.5
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 nanda-i@thieme.com.
Link for more information: http://www.nanda.org/.
Status
Student Response Model Answer Explanation Points
Earned
exhibits exhibits The correct status for 0.5 out
the nursing diagnosis of 0.5
is "exhibits," because
Eden's current
behavior shows
respiratory distress.
This is not a risk but is
present.
Diagnosis
Student Response Model Answer Explanation Points
Earned
ineffective airway ineffective airway Eden's condition 0.5 out
clearance clearance indicates she is of 0.5
experiencing
ineffective airway
clearance.
, Etiologies
Student Response Model Answer Explanation Points
Earned
respiratory distress respiratory distress Eden's diagnosis is 0.5 out
ineffective airway of 0.5
clearance as it relates
to her respiratory
distress.
Signs & Symptoms
Student Response Model Answer Explanation Points
Earned
wheezing wheezing Eden's diagnosis is 0.5 out
ineffective airway of 0.5
clearance as related to
respiratory distress as
evidenced by
wheezing, retractions,
respiratory rate of 62,
and excessive mucus.
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