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The Nurse Is Writing the Care Plan for a Patient

Question 19

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?

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 by lower extremity weakness.
B) Activity intolerance related to weakness as evidenced by verbal report of fatigue.
C) Feeding self-care deficit related to fatigue as manifested by inability to swallow food.
D) Ineffective airway clearance related to muscle weakness.

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