Nursing Diagnosis Handbook Discussion

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Nursing Diagnosis Handbook Discussion

Nursing Diagnosis Handbook Discussion

Please do Parts A, B, C of the following case study. Upload
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Ackley: Nursing Diagnosis Handbook, 11th Edition

Lecture Notes

Problem-Based Learning/Critical Thinking

Case Study – Carlo Stamm (Peanut Allergy)

Case Scenario

Carlo Stamm is a 10 year old boy who has known dairy
allergies. During a class trip to the local zoo last year Carlo was feeding
animals and rubbed his eyes without washing his hands. He began to complain of
itchiness around his eyes and there was noticeable periorbital swelling. One of
the chaperones on the class trip recognized the manifestations as an allergic
reaction and called Carlo’s mother. Carlo was taken by his mother to an urgent
care center where the primary care practitioner and nurse reviewed Carlo’s
history and assessed him.

Nursing Assessment

Carlo Stamm is 10 years old with a BMI of 22. He is in the
fifth grade at a public school where a nurse is present on Tuesdays and
Thursdays. His vital signs are: blood
pressure – 102/62; temperature – 98.8 degrees F.; heart rate – 90 BPM; respirations
– 18 per minute. The nurse at the urgent center called the local zoo and
requested information on the animal food that Carlo handled. The animal food was composed of multigrains
and peanuts. Carlo was given
?diphenhydramine orally and his mother was given a prescription for an epinephrine
autoinjector. Carlo was observed for an hour and his periorbial edema subsided
as well as the itchiness. Carlo was drowsy from the diphenhydramine and taken
home to rest.


1. Identify
significant symptoms by underlining them in the assessment.

2. List those
symptoms that indicate the client has a health problem (those you have

3. Group the
symptoms that are similar.


1. Select
possible nursing diagnoses for this client.

Do this by looking at the list of nursing diagnoses in, the
book, Ackley/Ladwig Nursing Diagnosis Handbook: An Evidence-Based Guide to
Planning Care or by accessing the care plan constructor at the EVOLVE SITE and
viewing nursing diagnoses listed there.
(You can copy and paste the information from the EVOLVE SITE
in the areas below.)

Possible nursing diagnoses:

2. Validate the
possible nursing diagnoses.

Compare the signs and symptoms (defining characteristics)
that you have identified from your client assessment with the defining
characteristics for the nursing diagnosis that you have selected. Also read the
definition and determine if this diagnosis fits this client.

Validated nursing diagnoses include:

3. Write/select a
nursing diagnostic statement for one of the nursing diagnoses by combining the
nursing diagnosis label with the related to (r/t) factors.

a. The label is
the title of the nursing diagnosis as defined by NANDA.
b. A related to
(r/t) statement describes factors that may be contributing to or causing the
problem that resulted in the nursing diagnosis.

(You can copy and paste the information from the EVOLVE SITE
in the areas below.)

NANDA label:

Risk Factors:
The complete nursing diagnostic statement is:


Discussion: Nursing Diagnosis Handbook

Discussion: Nursing Diagnosis Handbook

1. Select
appropriate NOC outcome from Ackley/Ladwig text or from the EVOLVE Care Plan
(You can copy and paste the information from the EVOLVE SITE
in the areas below.)

NOC outcome:

Fill out the grid with NOC indicators and the appropriate
Likert scale.
Select the appropriate point on the Likert scale to measure
the client’s current status.

Immune Hypersensitivity Response
1 = not controlled
2 = slightly controlled
3 = moderately controlled
4 = well controlled
5 = very well controlled

2. Or write
outcomes to help resolve the symptoms (defining characteristics). Refer to
Section III of the Ackley/Ladwig text for the nursing diagnosis care plan or
the EVOLVE Care Plan constructor.


3. Select
appropriate NIC interventions from Ackley/Ladwig text or care plan constructor.

(You can copy and paste the information from the EVOLVE SITE
in the areas below.)

NIC intervention:

4. Select
appropriate NIC activities.

Note: The Ackley/Ladwig text and the care plan constructor
gives sample NIC activities.

5. Select
interventions from the Section III care plan or the care plan constructor that
will enable the client to attain acceptable outcomes.


The next step in the nursing process is to give the nursing
care utilizing the nursing interventions.

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Nursing Diagnosis Handbook Discussion


After putting into effect the nursing interventions, the
results of the care should be evaluated by determining if the outcomes were
met. If the outcomes are acceptable, the care plan is resolved. If the outcomes
are not acceptable, further assessment should be done to answer the following

NOC Indicator
Rating at admission
Rating 30 minutes later
Rating 1 Hour later

Was the correct nursing diagnosis chosen?
Was the outcome appropriate?
Were the interventions appropriate in this situation?
What other interventions might have been helpful?

Changes in the nursing diagnosis, outcomes, and
interventions should be made as needed. This is continued use of critical
thinking to ensure appropriate nursing care.

Click here to access the Ackley, Ladwig Care Plan
Constructor to assist you in formulating your care plan. EVOLVE

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.


Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

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Nursing Diagnosis Handbook Discussion
Nursing Diagnosis Handbook Discussion

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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All the Best, 

Cathy, CS