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 ["B","C","D"]
Explanation
Choice A rationale
Placing all beds in the high position increases the risk of injury if a patient falls out of bed. It is generally recommended to keep beds in the lowest position to minimize the distance a patient would fall, thereby reducing the risk of injury.
Choice B rationale
Using color-coded wristbands is an effective way to quickly communicate a patient’s fall risk status to all healthcare providers. This visual cue helps ensure that all staff members are aware of the patient’s fall risk and can take appropriate precautions.
Choice C rationale
Conducting frequent rounds of patient rooms allows healthcare providers to regularly check on patients, address their needs, and identify any potential fall hazards. This proactive approach helps in preventing falls by ensuring that patients are safe and their environment is free of obstacles.
Choice D rationale
Providing non-skid socks helps prevent slips and falls by giving patients better traction when walking. These socks are especially useful for patients who may be unsteady on their feet or are at a higher risk of falling.
Correct Answer is B
Explanation
Choice A rationale
A respiratory therapist is not typically required to assist a stroke client with dysphagia. Their expertise is more focused on respiratory issues rather than swallowing difficulties.
Choice B rationale
A speech therapist is the correct team member to assist a stroke client with dysphagia. Speech therapists specialize in diagnosing and treating swallowing disorders, which are common in stroke patients.
Choice C rationale
A physical therapist focuses on improving a client’s physical mobility and strength. While they play a crucial role in stroke rehabilitation, they are not specifically trained to address dysphagia.
Choice D rationale
A pharmacist’s role is to manage and dispense medications. They do not have the specialized training required to assist with dysphagia.
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