The nurse is checking the client’s blood sugar before administering insulin to a diabetic client. Which part of the nursing process is being fulfilled?
Evaluation.
Assessment.
Planning.
Implementation.
The Correct Answer is B
Choice A rationale
Evaluation is the phase of the nursing process where the nurse assesses the effectiveness of the interventions and determines whether the patient’s goals have been met. Checking blood sugar before administering insulin is not part of the evaluation phase.
Choice B rationale
Assessment is the phase of the nursing process where the nurse gathers information about the patient’s condition. Checking the client’s blood sugar before administering insulin is an assessment activity, as it involves collecting data to determine the patient’s current blood glucose level.
Choice C rationale
Planning is the phase of the nursing process where the nurse develops a plan of care based on the assessment data. Checking blood sugar is not part of the planning phase; it is an assessment activity.
Choice D rationale
Implementation is the phase of the nursing process where the nurse carries out the interventions outlined in the plan of care. While administering insulin is part of the implementation phase, checking blood sugar is an assessment activity that occurs before the implementation of the intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A neurologist is a specialist in diagnosing and treating disorders of the nervous system, including strokes. Collaborating with a neurologist ensures that the client receives timely and accurate diagnostic tests and interventions. Neurologists have the expertise to interpret imaging studies, prescribe appropriate treatments, and manage complications related to strokes.
Choice B rationale
A chaplain provides spiritual support and counseling to patients and their families. While their role is important for emotional and spiritual well-being, they do not have the medical expertise needed to diagnose and treat strokes. Collaborating with a chaplain is beneficial for holistic care but not for ensuring timely diagnostic tests and interventions for a stroke.
Choice C rationale
A respiratory therapist specializes in assessing and treating respiratory conditions. While respiratory therapists play a crucial role in managing breathing difficulties, they are not the primary healthcare professionals for diagnosing and treating strokes. Their expertise is valuable for patients with respiratory issues but not for stroke-specific care.
Choice D rationale
A speech-language pathologist assesses and treats communication and swallowing disorders. They are essential for stroke rehabilitation, especially for patients with speech and swallowing difficulties. However, they are not involved in the initial diagnosis and acute management of strokes. Collaborating with a speech-language pathologist is important for rehabilitation but not for immediate diagnostic tests and interventions.
Correct Answer is D
Explanation
Choice A rationale
A DNR order does not mean that all medical treatments are withheld. It specifically indicates that CPR will not be performed if the patient’s heart stops.
Choice B rationale
While a DNR order allows for most medical treatments, it does not mean that all treatments are provided. CPR is specifically excluded.
Choice C rationale
A DNR order does not exclude medications. Patients with a DNR order can still receive medications and other treatments.
Choice D rationale
A DNR order means that CPR will not be performed in the event of cardiac arrest, but other medical treatments, including medications and comfort care, can still be provided.
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