The priority action for the nurse caring for a post-operative client is to: A.administer pain medication. B.complete a post-operative assessment. C.evaluate the abdominal dressing for drainage. D.expect the client to be drowsy due to anesthesia during sur

The priority action for the nurse caring for a post-operative client is to: A.administer pain medication. B.complete a post-operative assessment. C.evaluate the abdominal dressing for drainage. D.expect the client to be drowsy due to anesthesia during surgery. - correct-answersB What is the best example of person-centered care provided by a registered nurse (RN)? A.Development of a plan of care for a new admission. B.Reassuring a client who is anxious about a procedure. C.Administration of an antibiotic to a client who has an infection. D.Administration of blood pressure medication to a client with hypertension (HTN). - correct-answersB What are the characteristics of the nursing process? - correct-answersBeing goal-oriented and client centered Thinking and doing Cyclical process Steps may be concurrent Useful in many setting Which phase of the nursing process occurs when the nurse admits an asthmatic client to the medical unit? A.Planning. B.Diagnosis. C.Evaluation. D.Assessment. - correct-answersD What is the primary purpose of the problem statement? A.Analysis of data. B.Collecting client data. C.Communicating client needs. D.Meeting accreditation requirements. - correct-answersC Which of the following outcomes best allow the nurse to measure a client's response? A.The client's wound will appear normal within 5 days. B.The client's wound will have less drainage within 48 hours. C.The client's wound will heal without redness or drainage by day 3. D.The client's wound will reduce in size to less than 4 cm (1½ inches) by day 7. - correct-answersD The client is being discharged from the hospital with wound care dressing changes. The nurse recommends a referral for home health nursing services. What part of the nursing process is being utilized? A.Planning. B.Diagnosis. C.Evaluation. D.Implementation. - correct-answersA The nurse implement interventions during the 4th phase of the nursing process. Which of the following is an example of a dependent nursing intervention? A.The nurse assesses a client's heart and lungs. B.The nurse administers a nebulizer treatment to a client. C.The nurse talks to the physical therapist (PT) about a client's activity level. D.The nurse documents a client's physical assessment into the electronic health record (EHR). - correct-answersB What are some variables that can affect the ability of an intervention to produce a desired outcome? - correct-answersAvailability and support from family members and significant others Nurses physical and mental wellbeing Patient's motivation and ability to follow directions for treatment Patient failure to provide complete information during assessment Patient's lack of experience, knowledge, or ability Staffing ratios in the institution Treatments and therapies performed by other healthcare team members Which phase of the nursing process occurs when the nurse obtains a set of vital signs (VS) one hour after giving a client metoprolol to check its effectiveness? A.Diagnosis. B.Evaluation. C.Assessment. D.Implementation. - correct-answersB 1. Which phase of the nursing process is when nursing interventions are carried out? Planning. Evaluation. Assessment. Implementation. - correct-answersImplementation 1. Which statement illustrates the most measurable outcome indicator? Shows remorse. Understands instructions. Verbalizes a dressing change. Demonstrates self-injection of insulin. - correct-answersDemonstrates self-injection of insulin 1. What term best describes the nature of the nursing process? Still. Linear. Dynamic. Expected. - correct-answersDynamic 1. The nurse admits a chest pain patient to the cardiac care unit. Which step of the nursing process does the nurse do first? Planning. Evaluation. Assessment. Implementation. - correct-answersAssessment 1. What phrase best describes the essence of critical thinking? Simple thinking process. Consulting with another nurse. Seeking solutions to problems. Providing care based on nursing experience. - correct-answersSeeking solutions to problems 1. The nurse completed an admission history & physical examination on a client admitted for chest pain (CP), rule out (R/O) myocardial infarction (MI) [or "heart attack"]. Which of the following are objective data? Select all that apply. "I have chest pain." 57-year-old client. Blood pressure (BP) 158/90. Heart rate (HR) 110. "I am afraid something serious is wrong." - correct-answers57-year-old client. Blood pressure (BP) 158/90. Heart rate (HR) 110. 1. How does the nurse obtain a full set of data when performing an assessment of a client? Take a set of vital signs. Review diagnostic studies. Performing a client interview. Complete a nursing history & physical examination. - correct-answersComplete a nursing history & physical examination 1. The nursing process organizes your approach while delivering nursing care. To provide the best professional care to patients, nurses need to incorporate nursing process and: decision making. problem solving. intellectual standards. critical-thinking skills. - correct-answerscritical thinking skills 1. Which of the following are physical assessment techniques? Select all that apply. Inspection. Palpation. Percussion. Ausculation. Patient interview. - correct-answersInspection. Palpation. Percussion. Ausculation. 1. Which of the following nursing interventions are considered direct care? Select all that apply. Patient teaching. Physical assessment. Activities of daily living (ADLs). Giving change-of-shift nursing report. Delegation of care to unlicensed assistive personnel (UAP). - correct-answersPatient teaching. Physical assessment. Activities of daily living (ADLs). 1. Which action should the nurse take 30 minutes after administering oral pain medication to a patient? Evaluate the effectiveness of the administered pain medication. Assess the patient's coping skills to reduce expressed anxiety. Teach progressive relaxation strategies to relieve muscle tension.