The nurse is trying to decide what interventions will assist the patient with dyspnea to meet needs demonstrated by the patient. This phase of the nursing process is:
implementation
evaluation
planning
assessment
The Correct Answer is C
A. Implementation: Implementation occurs after interventions have been planned and involves carrying out those interventions.
B. Evaluation: Evaluation occurs after implementation to assess if the intervention was effective.
C. Planning: The planning phase involves choosing the best interventions based on patient assessment and nursing diagnosis.
D. Assessment: Assessment is gathering information about the patient, not deciding on interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. As difficult to maintain: This is a subjective statement and not a proper nursing diagnosis.
B. As a risk factor: Bed rest increases the risk of complications such as pressure ulcers, deep vein thrombosis (DVT), and muscle atrophy.
C. As a nursing responsibility: While nurses help manage bed rest, it is not classified as a responsibility but as an intervention.
D. As contributing to the patient's recovery: Although bed rest may be necessary, prolonged immobility can have negative effects, making this statement incomplete.
Correct Answer is A
Explanation
A. Interview and physical examination: The two primary methods of data collection in nursing are:
-
Interview (subjective data: patient history, symptoms, concerns)
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Physical examination (objective data: vital signs, assessment findings)
B. Review of the doctor's orders and the Kardex: This provides supplementary data but does not directly collect patient information.
C. Written report by patient and family: This may provide valuable subjective data but is not a primary method of data collection.
D. Review of the chart and the nurse’s notes: This is reviewing existing documentation, not actively collecting data.
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