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The Nurse Is Writing the Care Plan for a Patient

Question 15

Multiple Choice

The nurse is writing the care plan for a patient admitted to the hospital for complications associated with muscular dystrophy. Which Nursing diagnoses written on the care plan indicate a need for further instruction in constructing the diagnostic statement?


A) Constipation related to immobility as manifested patient passing hard, dry stool with difficulty
B) Activity intolerance related to weakness as evidenced by verbal report of fatigue.
C) Impaired self feeding related to fatigue as manifested by inability to open containers and bring food to the mouth.
D) Impaired airway clearance related to muscle weakness.

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