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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. To clarify nursing principles: Nursing orders are action-oriented and not just meant to clarify theoretical principles.

B. To resolve the patient’s problems: Nursing orders focus on patient care interventions that directly address identified problems in the nursing diagnosis.

C. To support physician’s orders: Nursing orders complement medical care but are independent nursing actions, not just support for physician directives.

D. To provide broad, general statements: Nursing orders should be specific, measurable, and actionable, not broad statements.

A. the insulin was administered based per the nurse's testimony B. none of the answers are correct C. the insulin was administered based on the witness testimony D. the insulin was not administered because it was not charted

Correct Answer is D

Explanation

A. The insulin was administered per the nurse's testimony: In legal cases, verbal testimony alone is not sufficient without documentation.

B. None of the answers are correct: One of the answers is correct based on legal documentation principles.

C. The insulin was administered based on the witness testimony: Even though there were witnesses, medication administration must be documented for legal and clinical accountability.

D. The insulin was not administered because it was not charted: "If it wasn't documented, it wasn't done." In legal and medical practice, lack of documentation means the action cannot be verified as completed.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Clarify the primary purpose of nursing orders:

Correct Answer is B

Explanation

The nurse administered the stat insulin dose as ordered, in the presence of the nurse's aide and the dietary aide, however, the nurse failed to chart the medication on the MAR. During a legal deposition regarding charges of professional malpractice, it was determined that:

Correct Answer is D

Explanation

During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin, dry mucous membranes and temperature elevation. The nurse realizes grouping this data represents:

Select the proper order of the phases of the Nursing Process:

A patient with edema has a problem of fluid overload. The nurse is developing a care plan and selecting interventions that will assist the patient in reducing the fluid. An important consideration when developing the care plan is to:

The patient with a urinary tract infection is being assessed using a critical pathway. When a projected outcome is not met by a predetermined date it is determined that a/an:

During the shift, the nurse charts only additional treatments done or withheld, changes in patient condition, and new concerns. Charting these factors demonstrates which of the following type of charting?

In which step of the nursing process do nurses look at outcomes?

When using the SOAP method of charting, S stands for subjective data which means:

The nurse is reviewing the patient's plan of care and ordered treatments. Which of the following is (are) independent nursing interventions? (select all that apply)