After completing 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?
Evaluation
Data Collection
Re-collection of Data
Implementation
The Correct Answer is D
Choice A reason: Evaluation is the final step of the nursing process, where the nurse assesses the client's response to the nursing interventions.
Choice B reason: Data Collection is the first step of the nursing process, where the nurse gathers information about the client's health status.
Choice C reason: Re-collection of Data may be necessary if there are changes in the client's condition, but it is not the immediate next step after planning.
Choice D reason: Implementation is the correct answer because it is the step where the nurse puts the care plan into action, following the planning step.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Urine osmolality of 200 mOsm/kg is lower than expected in dehydration. Dehydration typically results in higher osmolality due to the concentration of urine.
Choice B reason: Cloudy urine can be a sign of infection or other conditions, but it is not a specific indicator of dehydration.
Choice C reason: Dark-colored urine is a common finding in dehydration as the body conserves water, leading to
more concentrated urine.
Choice D reason: A urine specific gravity of 1.015 is within the normal range. In dehydration, we would expect a higher specific gravity, indicating more concentrated urine.
Correct Answer is D
Explanation
Choice A reason: Choosing sugar-sweetened beverages is not recommended for clients with kidney stones as they
can lead to weight gain and increase the risk of stone formation.
Choice B reason: Limiting calcium intake is not generally advised for kidney stone prevention; in fact, adequate
calcium intake is important to bind oxalate in the gut.
Choice C reason: Drinking only 1 liter of fluid each day is insufficient; it is recommended to drink enough water to produce at least 2.5 liters of urine daily to prevent kidney stones.
Choice D reason: Filtering urine each day can help to catch stones that are passed, which can then be analyzed to determine their composition and guide further treatment.
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