NURSING DIAGNOSIS EXERCISES: WRITING DIAGNOSIS STATEMENTSInstruction: Formulate a three-part diagnostic statement that clearly describes the nursing diagnosis. In other words, you also must include the “relate to” and “as evidenced by” statements that corresponds to the given situation.Carl James was hospitalized yesterday. Today he demonstrates the following signs and symptoms: blood pressure, 138/78 mm Hg; pulse rates, 102 beats/min and regular; respiratory rate, 24 breaths/min and using accessory muscles; restless; and irritable. Oral temperature is 99.80 The pulse oximeter reading is 94%. Mr. James is diaphoretic and complains of a headache. His lung sounds are clear but diminished. He states he feels “light-headed” when he moves from his bed to chair.

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Formulate a three-part diagnostic statement that clearly describes the nursing diagnosis

Understanding Health Insurance: A Guide to Billing and Reimbursement

14th Edition

ISBN:9781337679480

Author:GREEN

Publisher:GREEN

Chapter7: Cpt Coding

Section: Chapter Questions

Problem 6R

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NURSING DIAGNOSIS EXERCISES: WRITING DIAGNOSIS STATEMENTS Instruction: Formulate a three-part diagnostic statement that clearly describes the nursing diagnosis. In other words, you also must include the “relate to” and “as evidenced by” statements that corresponds to the given situation. Seventy-seven-year-old Hilda Jameson is being evaluated at the clinic. Her daughter states that Mrs. Jameson has not been as active as usual and has experienced frequent periods of confusion. Examination confirms that she is disoriented to time and place and asks that someone find her husband. Her daughter reports that he has been deceased for several years.
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