A 65-year-old male patient with hypertension was recently started on a new antihypertensive medication. During the evaluation phase of the nursing process, which action should the nurse prioritize?
Review the patient's medication history for any potential drug interactions.
Educate the patient about the potential side effects of the new medication.
Document the patient's baseline blood pressure before starting the medication.
Assess the patient's blood pressure to determine if the medication is effective.
The Correct Answer is D
A. Reviewing medication history is important before starting a medication, not during the evaluation phase.
B. While education is important, the priority in the evaluation phase is determining whether the medication is working.
C. Baseline data is collected before treatment begins. The evaluation phase focuses on assessing the effectiveness of treatment.
D. The evaluation phase of the nursing process focuses on determining if interventions (such as medications) have achieved the desired outcomes.
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Related Questions
Correct Answer is B
Explanation
A. Temperature and bowel sounds are measurable, making them objective data rather than subjective.
B. These symptoms cannot be measured or observed by the nurse; they are based on the patient's personal experience, making them subjective data.
C. While the cough is subjective, the respiratory rate is measurable and therefore objective. Since the option includes both types of data, it is not the best answer.
D. White blood cell count is objective. Pain rating is subjective, but since this option includes both types of data, it is not the best choice.
Correct Answer is C
Explanation
A. Outcome evaluation is part of the final phase.
B. Nursing diagnoses come after assessment.
C. The first phase of the nursing process is assessment, which includes collecting a comprehensive database of patient information.
D. Interventions occur in the implementation phase.
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