The correct progression of steps of the nursing process is:

implementation, planning, evaluation, assessment, and diagnosis

diagnosis, implementation assessment, evaluation and planning

assessment, diagnosis planning, implementation, and evaluation

planning, assessment, diagnosis, evaluation, and implementation

Answer and Explanation

The Correct Answer is C

A. implementation, planning, evaluation, assessment, and diagnosis: This sequence is incorrect because assessment and diagnosis must precede planning and implementation to establish a foundation for care.

B. diagnosis, implementation, assessment, evaluation, and planning: Diagnosis cannot occur before assessment, and planning must come before implementation, so this order is not correct.

C. assessment, diagnosis, planning, implementation, and evaluation: This is the correct sequence of the nursing process, starting with gathering data, identifying problems, developing care plans, carrying out interventions, and finally assessing outcomes.

D. planning, assessment, diagnosis, evaluation, and implementation: Planning cannot precede assessment and diagnosis; this sequence disrupts the logical order of patient care.

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Correct Answer is C

Explanation

A. The charge nurse: While the charge nurse may assist in overseeing patient care, the responsibility for reporting changes in a specific patient's condition lies with the nurse assigned to that patient. Delegation does not remove the accountability of the primary nurse.

B. The nursing assistant: Nursing assistants are not licensed to interpret or report critical changes in a patient's condition. They may measure vital signs but must report abnormal findings to the licensed nurse, who is responsible for further action.

C. The nurse: The nurse caring for the client is ultimately responsible for assessing the situation, interpreting the data, and notifying the healthcare provider. Timely communication of significant changes in condition is a key nursing responsibility.

D. The client: Although the client may express concern about symptoms, it is not their responsibility to report changes to the provider. It is the nurse’s duty to act on clinical findings and initiate communication with the medical team.

A. optic function B. cardiac function C. auditory function D. skeletal function

Correct Answer is B

Explanation

A. Optic function: While potassium plays a role in cellular processes, including those in the eyes, its primary effects are felt in areas like the cardiovascular system. The optic nerve and visual processing are not influenced by potassium levels.

B. Cardiac function: Potassium is crucial for maintaining normal cardiac function. It helps regulate the electrical activity of the heart, and its imbalance can lead to arrhythmias, which can be life-threatening. Hypokalemia can cause disturbances in the heart’s rhythm, making it the most critical aspect to address.

C. Auditory function: Potassium levels do not affect auditory function. Potassium is involved in bodily functions, including maintaining the electrochemical gradients necessary for nerve and muscle activity, but it does not have a role in hearing or auditory processes.

D. Skeletal function: Potassium is important for muscle function, including skeletal muscles. Potassium’s role in muscle contraction extends to both skeletal and smooth muscles, but its impact on the heart’s electrical system makes cardiac function the priority.

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The correct progression of steps of the nursing process is:

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Naxlex Comprehensive Predictor Exams

The nurse is performing an assessment on an older adult client and notices that the blood pressure has increased from 140/82 to 198/120 mm Hg. This is a significant difference in the client's baseline. Who is ultimately responsible for reporting this significant change to the health care provider?

Correct Answer is C

Explanation

The nurse is educating a client with hypokalemia on why it is important to maintain potassium balance. Which does the nurse include in the teaching?

Correct Answer is B

Explanation

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