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.
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Related Questions
Correct Answer is A
Explanation
Choice A rationale
A healthcare proxy is a legal document that allows an individual to appoint someone to make medical decisions on their behalf if they are unable to do so themselves. This ensures that the individual’s healthcare preferences are followed even when they cannot communicate them. The proxy works closely with the healthcare team to ensure the patient’s wishes are respected.
Choice B rationale
Dictating funeral arrangements is not the primary purpose of a healthcare proxy. Funeral arrangements are typically handled through a will or other legal documents, not through a healthcare proxy.
Choice C rationale
Appointing a guardian for minor children is not the role of a healthcare proxy. This responsibility is usually designated through a will or other legal documents.
Choice D rationale
Managing the individual’s financial affairs is not the purpose of a healthcare proxy. Financial decisions are typically handled through a durable power of attorney for finances, not through a healthcare proxy.
Correct Answer is B
Explanation
Choice A rationale
A Do Not Resuscitate (DNR) order is a type of advance directive that specifies that CPR should not be performed if the patient’s heart stops.
Choice B rationale
A trust fund is not a type of advance directive. It is a financial arrangement that does not relate to medical decisions.
Choice C rationale
A durable power of attorney for healthcare is a type of advance directive that allows an individual to appoint someone to make medical decisions on their behalf.
Choice D rationale
A living will is a type of advance directive that outlines an individual’s preferences for medical treatment in certain situations.
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