A nurse is changing a wound dressing for a post-op client. Which of the following steps is the nurse performing?
Planning.
Evaluation.
Assessment.
Implementation.
The Correct Answer is D
Choice A rationale
Planning involves setting goals and determining the appropriate interventions to achieve those goals. It is not the step being performed when changing a wound dressing.
Choice B rationale
Evaluation involves assessing the effectiveness of the interventions and determining if the goals have been met. It is not the step being performed when changing a wound dressing.
Choice C rationale
Assessment involves gathering data about the client’s condition. While assessment is an ongoing process, it is not the primary step being performed when changing a wound dressing.
Choice D rationale
Implementation involves carrying out the planned interventions. Changing a wound dressing is an example of implementing a nursing intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Quasi-experimental research involves the manipulation of an independent variable to determine its effect on a dependent variable, similar to experimental research. However, quasi-experimental designs lack random assignment to groups, which can limit the ability to infer causality. Despite this limitation, quasi-experimental designs are valuable for studying causal relationships in real-world settings where random assignment is not feasible.
Choice B rationale
Correlational research examines the relationship between two or more variables without manipulating any variables. It does not involve the manipulation of an independent variable or the use of control groups, making it distinct from quasi-experimental research.
Choice C rationale
Qualitative research focuses on exploring and understanding the meaning and experiences of individuals through methods such as interviews, observations, and content analysis. It does not involve the manipulation of variables or the use of experimental designs, making it distinct from quasi-experimental research.
Choice D rationale
Quantitative research involves the collection and analysis of numerical data to identify patterns, relationships, and trends. While quasi-experimental research is a type of quantitative research, not all quantitative research involves quasi-experimental designs. Quantitative research can also include experimental, correlational, and descriptive designs.
Correct Answer is C
Explanation
Choice A rationale
The statement “The vital signs are stable” is incorrect for the fifth step of the SBAR communication tool. The fifth step in SBAR is the Recommendation step, where the nurse provides a recommendation or request for what action should be taken next. Stating that the vital signs are stable does not provide a clear recommendation or action plan for the provider to follow.
Choice B rationale
The statement “The client has a history of high blood pressure” is incorrect for the fifth step of the SBAR communication tool. This information belongs in the Background step, where the nurse provides relevant clinical background information about the patient’s condition. The Recommendation step should focus on what action the nurse recommends based on the assessment.
Choice C rationale
The statement “The client should be seen by a neurologist” is correct for the fifth step of the SBAR communication tool. In the Recommendation step, the nurse provides a clear and specific recommendation for what action should be taken next. Recommending that the client be seen by a neurologist is an appropriate and actionable recommendation based on the nurse’s assessment.
Choice D rationale
The statement “The client is experiencing severe headaches” is incorrect for the fifth step of the SBAR communication tool. This information belongs in the Assessment step, where the nurse provides an analysis of the patient’s current condition. The Recommendation step should focus on what action the nurse recommends based on the assessment.
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