A nursing care plan consists of:
orders for diagnostic and therapeutic procedures such as laboratory tests or x-rays
laboratory and x-ray reports, pathology reports, and the medication record
nursing orders for individualized interventions to assist the patient to meet expected outcomes
the physician's history and physical examination, as well as medical diagnoses
The Correct Answer is C
A. Orders for diagnostic and therapeutic procedures such as laboratory tests or x-rays:
This refers to medical orders, which are instructions given by a physician for diagnostic tests or treatments. These orders are not part of the nursing care plan. Nurses execute these orders but do not create them.
B. Laboratory and x-ray reports, pathology reports, and the medication record:
These are patient records and reports. While nurses use this information to inform their care, the reports themselves are not the nursing care plan. Nurses analyze these reports to make informed decisions regarding patient care.
C. Nursing orders for individualized interventions to assist the patient to meet expected outcomes:
This is the correct choice. Nursing care plans involve identifying the patient's nursing diagnoses (health issues that nurses can address), setting specific and measurable outcomes, planning interventions tailored to the patient's needs, and evaluating the outcomes. It's a holistic approach designed to address the patient's unique health challenges.
D. The physician's history and physical examination, as well as medical diagnoses:
This refers to the medical diagnosis and assessment, which are critical for understanding the patient's overall health. While nurses consider this information, the nursing care plan specifically focuses on nursing interventions and care strategies, making it distinct from the medical diagnosis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Assessment:
Explanation: Assessment is the first step in the nursing process. It involves gathering information about the patient's health status. This can include a patient's medical history, physical examination, and other vital signs. It's the phase where the nurse collects data to identify the patient's problems or needs.
B. Nursing Diagnosis:
Explanation: Nursing diagnosis is the second step in the nursing process, following assessment. During this step, the nurse analyzes the data collected during the assessment to identify nursing diagnoses or issues. Nursing diagnoses are clinical judgments about individual, family, or community responses to actual or potential health problems or life processes.
C. Evaluation:
Explanation: Evaluation is the last step in the nursing process. It involves assessing the patient's response to nursing interventions and determining if the goals and outcomes have been met. In the given scenario, the nurse is evaluating whether the pain medication administered 45 minutes ago has had the desired effect and has relieved the patient's pain.
D. Implementation:
Explanation: Implementation is the third step in the nursing process. During this phase, the nurse carries out the care plan that was designed during the planning phase. This can involve a variety of nursing actions, including administering medications, providing treatments, and educating patients. In the context of the scenario, giving pain medication is part of the implementation phase.
Correct Answer is ["2.25"]
Explanation
= 450/ 200
= 2.25 ML
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