The nurse begins discharge planning for an older adult with left-side weakness. Which action is most important in ensuring that the discharge plan is successful?

Involve the multidisciplinary team

Involve the family members

Get patient input when making the plan

Start planning at admission

Answer and Explanation

The Correct Answer is C

A. While teamwork is crucial, patient input should come first to ensure the plan aligns with their needs and capabilities.

B. Family involvement is beneficial, but the patient should have the primary role in decision-making.

C. Effective discharge planning is patient-centered, ensuring that goals align with their preferences, abilities, and resources.

D. Although discharge planning should begin at admission, the most important factor for success is patient involvement.

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Correct Answer is C

Explanation

A. Outcome evaluation is part of the final phase.

B. Nursing diagnoses come after assessment.

C. The first phase of the nursing process is assessment, which includes collecting a comprehensive database of patient information.

D. Interventions occur in the implementation phase.

A. Temperature 38 C/100.4F, bowels sounds 15/minute B. Nausea and stomach cramps. C. Occasional cough, respiratory rate 18 breaths per minute D. White blood cell count 14,000/mm3, pain 4/10

Correct Answer is B

Explanation

A. Temperature and bowel sounds are measurable, making them objective data rather than subjective.

B. These symptoms cannot be measured or observed by the nurse; they are based on the patient's personal experience, making them subjective data.

C. While the cough is subjective, the respiratory rate is measurable and therefore objective. Since the option includes both types of data, it is not the best answer.

D. White blood cell count is objective. Pain rating is subjective, but since this option includes both types of data, it is not the best choice.

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The nurse begins discharge planning for an older adult with left-side weakness. Which action is most important in ensuring that the discharge plan is successful?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is using critical thinking skills during the first phase of the nursing process. Which action indicates the nurse is in the first phase?

Correct Answer is C

Explanation

A nurse reviews a patient's health record and finds the following data. Which example includes only subjective data?

Correct Answer is B

Explanation

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