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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: To calculate BMI, the nurse needs the client's height and weight. BMI is calculated by dividing the weight in kilograms by the square of height in meters.

Choice B reason: Skinfold thickness is used to estimate body fat percentage, not BMI.

Choice C reason: Waist circumference is used as a measure of abdominal obesity, not for calculating BMI.

Choice D reason: Daily calorie intake is not required for BMI calculation; it is more relevant for dietary assessments
and weight management plans.

A. Substernal retractions noted on the client's chest. B. Crackles auscultated over the client's lung fields C. Crepitus palpated on the client's chest. D. Dullness percussed over the client's lung fields

Correct Answer is D

Explanation

Choice A reason: Substernal retractions are not typically associated with pleural effusion; they are more indicative of conditions causing increased work of breathing.

Choice B reason: Crackles are usually heard in conditions like pneumonia or heart failure, but not typically in isolated pleural effusion unless it is associated with other lung conditions.

Choice C reason: Crepitus is generally associated with subcutaneous emphysema when air is present in the
subcutaneous tissue and is not a common finding in pleural effusion.

Choice D reason: Dullness on percussion over the lung fields is a classic finding in pleural effusion due to the presence of fluid in the pleural space.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is calculating a client's body mass index (BMI). Which of the following information does the nurse require?

Correct Answer is A

Explanation

A nurse is collecting data on a client who has a pleural effusion. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

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