A patient who is hospitalized for chronic obstructive pulmonary disease wants to go home. The nurse and the patient discuss the patient’s situation and decide that the patient may go home when able to perform self-care without dyspnea and hypoxia. This is an example of which phase of the nursing process?
Assessment
Evaluation
Implementation
Planning
The Correct Answer is D
A. Assessment involves gathering data about the patient’s condition, but in this case, the nurse and patient are making a decision about discharge criteria, which falls under planning.
B. Evaluation occurs after interventions have been implemented to determine whether goals have been met. Since the patient has not yet attempted self-care, this phase has not been reached.
C. Implementation refers to carrying out nursing interventions, such as administering medications or assisting with breathing exercises. The discussion about discharge criteria is a planning activity rather than an intervention.
D. Planning involves setting goals and determining the criteria for discharge, which is what the nurse and patient are doing by establishing that the patient may go home when self-care can be performed without dyspnea or hypoxia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a) "Signature" and "hospital" are not part of the six rights of medication administration. The correct rights ensure patient safety by verifying essential aspects of drug administration.
b) "Solution," "doctor," and "shift" are not part of the six rights. The focus should be on ensuring the correct patient receives the right medication in the right manner.
c) "Order" and "signature" are important for verifying prescriptions, but they are not included in the six rights of administration.
d) The six rights of medication administration are right medication, right dosage, right route, right time, right client (patient), and right documentation. These ensure medication safety and prevent errors.
Correct Answer is D
Explanation
A. Deficient knowledge may be a concern, but the primary focus here is on the safety risk associated with the side effects of the medication, particularly dizziness and orthostatic hypotension, which increase the risk of falls or injury.
B. Ineffective health maintenance is not specific to the medication side effects and does not directly address the patient's safety risk due to the medication.
C. Readiness for enhanced knowledge is more appropriate when the patient is already familiar with their condition and medication and is ready to learn more. This is not the case here, as the focus is on preventing harm from side effects.
D. Risk for injury is the most appropriate nursing diagnosis. Dizziness and orthostatic hypotension increase the risk of falls, which can lead to injury, making this the most relevant concern in this scenario.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.