Question

A new nurse writes the following nursing diagnoses on a patient's care plan. Which nursing diagnosis will cause the nurse manager to intervene?

a. Wandering
b. Hemorrhage
c. Urinary retention
d. Impaired swallowing"

Answer 1

The nursing diagnosis 'hemorrhage' requires immediate medical intervention, unlike the other listed conditions. Hemorrhage represents a possible emergency situation needing urgent treatment.

Step-by-step explanation:

Nursing Diagnosis Intervention

The nursing diagnosis that will cause the nurse manager to intervene is hemorrhage. This condition is a potential medical emergency and would likely require immediate medical assessment and intervention rather than simply being managed as a nursing diagnosis within a care plan. In contrast, the other diagnoses listed - wandering, urinary retention, and impaired swallowing - although important, do not typically represent immediate life-threatening conditions.

Regarding the additional reference information:

• A patient with a blood pressure of 70/45 who is confused and complaining of thirst could be experiencing shock from potential hemorrhage or severe dehydration, which requires urgent medical treatment.
• Elderly individuals might experience urinary retention due to physical challenges or neurological conditions such as Alzheimer's and Parkinson's disease.
• A restriction of a blood vessel in the cerebral cortex is most likely to affect language function.
• Stroke is caused by a disruption of blood flow to the brain.