Test Bank For Medical Surgical Nursing in Canada, 4th Edition By Sharon L. Lewis; Margaret McLean Heitkemper; Linda Bucher 2024|2025

Test Bank For Medical Surgical Nursing in Canada, 4th Edition By Sharon L. Lewis; Margaret McLean Heitkemper; Linda Bucher 2024|2025 The nurse is caring for a client who has heart failure and encourages the client to alternate rest and activity periods to reduce cardiac workload. Which phase of the nursing process is the nurse demonstrating? a. Planning b. Diagnosis c. Evaluation d. Implementation Correct Answer: d. Implementation The nurse is planning care for a client and uses a visual diagram of client problems and interventions to illustrate the relationships among pertinent clinical data. Which format is the nurse using to plan care? a. Concept map b. Critical pathway c. Clinical pathway d. Nursing care plan Correct Answer: a. Concept map Which of the following statements represents the "O" component of the SOAP process for documentation? a. More pain at present b. Temperature 39.4°C (102.9°F) c. Risk for infection d. Notify surgeon Correct Answer: b. Temperature 39.4°C (102.9°F) The nurse caring for postoperative clients developed the following clinical question: In adult postoperative clients, how does guided imagery compared with music therapy affect analgesia use within the first 24 hours after surgery? Applying the PICOT framework, which of the following would be the "I" element in this question? a. Guided imagery b. Music therapy c. Analgesia use d. Adult postoperative clients Correct Answer: a. Guided imagery The nurse is investigating ways in which to improve interprofessional team communication and has chosen the SBAR model. Which of the following reflects the meaning of the "R" in the SBAR model? a. Risk assessment b. Recommendation c. Responsibility of action d. Roles of health tea