A nurse asks a client the current level of pain using a scale of 0 to 10 after administering pain medications 30 minutes ago. Which of the following steps of the nursing process is the nurse performing?
Analysis.
Implementation.
Planning.
Evaluation.
The Correct Answer is D
The correct answer is choice D, Evaluation.
Evaluation is the step of the nursing process where the nurse assesses the client's response to interventions that were implemented during the implementation step. In this scenario, the nurse administered pain medication and is now evaluating its effectiveness by asking the client to rate their current level of pain on a scale of 0 to 10. Based on the client's response, the nurse can determine whether the intervention was successful or whether adjustments to the plan of care are necessary.
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Related Questions
Correct Answer is ["A","B","C"]
Explanation
SOAP is an acronym for subjective, objective, assessment, and plan, which are the four sections that should be present in the charting. The subjective section includes the client's report of symptoms or how they feel. The objective section includes the nurse's observations of the patient, such as vital signs and physical examination findings. The assessment section includes the nurse's analysis of the subjective and objective data to identify health problems, while the plan section includes the nurse's plan of care for the patient, including interventions and goals.
The problem section is not typically included in SOAP documentation but may be included in other formats such as SOAPIE or DAR.
Correct Answer is B
Explanation
The correct answer is choice B, safety measures necessary to prevent a fire. When teaching a home care client and their family about using prescribed oxygen, safety measures are critical. Oxygen supports combustion, so it is important to follow safety measures to prevent a fire. These safety measures include avoiding smoking, using electric razors instead of a blade, and avoiding flammable products such as oils, aerosol sprays, and alcohol-based hand sanitizers near the oxygen source. The oxygen should be kept away from heat sources and the tubing should be free from kinks or damage. The healthcare provider's phone number should also be readily available in case of any questions or emergencies.
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