A nurse has completed the planning step of the nursing process for a client who has an acid-base imbalance. Which of the following steps should the nurse take next?
Re-collection of data
Implementation
Evaluation
Data Collection
The Correct Answer is B
Explanation:
A. Re-collection of data:
This step involves gathering additional information or data about the client's condition. It may be necessary if there are new developments, changes in the client's status, or if the initial data collected was insufficient or inaccurate. Re-collection of data helps ensure that the nurse has comprehensive and accurate information to base the care plan on.
B. Implementation:
Implementation is the phase where the nurse puts the planned interventions into action. This step involves performing nursing actions, administering treatments or medications, providing education and support to the client and their family, and collaborating with other healthcare team members. The nurse follows the care plan developed during the planning phase to address the client's needs and achieve desired outcomes.
C. Evaluation:
Evaluation is the final step of the nursing process where the nurse assesses the client's response to interventions and the effectiveness of the care provided. The nurse compares the client's actual outcomes with the expected outcomes identified during the planning phase. If the outcomes are met, the plan may continue as is or be modified for ongoing care. If the outcomes are not met, the nurse revises the plan as necessary to improve client outcomes.
D. Data Collection:
Data collection is the initial step of the nursing process where the nurse gathers information about the client's health status, including physical, emotional, social, and environmental factors. This step involves conducting assessments, gathering medical history, reviewing laboratory and diagnostic tests, and obtaining information from the client and their family. Data collection forms the basis for identifying nursing diagnoses, developing care plans, and implementing appropriate interventions.
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Related Questions
Correct Answer is D
Explanation
Explanation:
A. Battery: Battery refers to intentional harmful or offensive touching without consent. In the context of healthcare, it usually involves physical contact or procedures performed without the patient's consent. An inadvertent medication error, even if it causes harm, does not typically constitute battery unless there was an intentional act of administering the wrong medication against the patient's will.
B. Assault: Assault is the threat of harmful or offensive contact. It involves creating a reasonable apprehension of imminent harmful or offensive contact in the patient's mind. An inadvertent medication error, while it may cause harm, does not typically constitute assault unless there was an intentional threat of harm made to the patient.
C. Abuse: Abuse involves the intentional mistreatment or harm of another person. An inadvertent medication error is not considered abuse unless there was an intentional act to harm the patient.
D. Malpractice: Malpractice refers to professional negligence or failure to provide the standard of care expected in a particular profession, such as nursing. In the scenario described, the inadvertent medication error resulting in a severe allergic reaction and prolonging the client's hospitalization could be considered a case of malpractice. The nurse failed to meet the standard of care expected in administering medications safely, leading to harm to the patient.
Correct Answer is B
Explanation
Explanation:
A. It is not permissible because the provider should disclose laboratory results or findings to a client.
This statement is not accurate in this context. While it is true that healthcare providers are responsible for disclosing test results to clients, this responsibility is typically limited to the provider-patient relationship, not to family members of healthcare workers.
B. It is not permissible because there is no nurse-client relationship between the sibling and nurse.
This is the correct choice. In healthcare ethics and legal standards, privacy and confidentiality are essential. The nurse has a duty to maintain the confidentiality of patient information, and this duty extends to family members of patients. Since there is no official nurse-client relationship between the nurse and her sibling, accessing the sibling's diagnostic test results would violate the privacy and confidentiality rights of the sibling.
C. It is permissible because the sibling has paid for the service.
Payment for services does not override the principles of confidentiality and privacy in healthcare. Even if the sibling has paid for the service, it does not grant the nurse permission to access the sibling's medical information without proper authorization.
D. It is permissible because the client's sibling made the request.
The fact that the sibling made the request does not automatically make it permissible for the nurse to access the diagnostic test results. Confidentiality and privacy considerations are paramount in healthcare, and access to patient information is typically restricted to authorized individuals involved in the patient's care.
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