A nurse is receiving change-of-shift report for a group of assigned clients. The nurse anticipates which of the following activities first in delivering client care using the nursing process?

Collect and organize client data.

Critically analyze client data to determine priorities.

Determine effectiveness of interventions.

Set client-centered, measurable and realistic goals.

Answer and Explanation

The Correct Answer is A

A. Collect and organize client data: The first step in the nursing process involves gathering and organizing data about the clients, which is essential for making informed decisions and planning care.

B. Critically analyze client data to determine priorities: Analysis of data and setting priorities come after the initial collection and organization of client data.

C. Determine effectiveness of interventions: Evaluating the effectiveness of interventions occurs after implementing the care plan and is not the first step in the process.

D. Set client-centered, measurable and realistic goals: Goal-setting follows the collection and analysis of data and is part of the planning phase in the nursing process.

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Correct Answer is A

Explanation

A. Documents medication administration prior to administering it: This is incorrect practice. Medication administration should be documented only after it has been given to ensure accuracy and accountability.

B. Checks the provider's orders and confirmed dosage in a medication reference guide: This is a correct practice to ensure that the medication order and dosage are accurate.

C. Scans the bar code on the medication administration record and the client's arm band: This is a correct practice to verify the medication and patient identity, enhancing safety.

D. Verifies the medication against the prescription and medication label: This is a correct practice to confirm that the correct medication and dosage are administered.

A. "I will begin upon the client's admission to the facility." B. "I will begin once the client's discharge order is written." C. "I will begin once the client's insurance company approves discharge coverage." D. "I will begin 48 hr before the client's discharge."

Correct Answer is A

Explanation

A. "I will begin upon the client's admission to the facility.": Discharge planning should start at admission to ensure that all aspects of the client's care and needs are addressed well before the discharge date.

B. "I will begin once the client's discharge order is written.": Waiting for the discharge order delays the discharge planning process and may result in insufficient preparation for the client’s needs.

C. "I will begin once the client's insurance company approves discharge coverage.": Insurance approval is important but should not delay the initiation of discharge planning, which focuses on the client's needs and readiness for discharge.

D. "I will begin 48 hr before the client's discharge.": Starting discharge planning just 48 hours before discharge may not provide enough time to address all aspects of the client’s care and ensure a smooth transition.

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A nurse is receiving change-of-shift report for a group of assigned clients. The nurse anticipates which of the following activities first in delivering client care using the nursing process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is A

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