What are the six elements of the nursing process?
Assessment, diagnosis, intervention, evaluation, discharge, documentation
Assessment, planning, intervention, evaluation, discharge, follow-up
Assessment, diagnosis, planning, interventions evaluation, education
(Re)Assessment, diagnosis, outcomes, planning, implementation, evaluation
The Correct Answer is D
A. Assessment, diagnosis, intervention, evaluation, discharge, documentation. Discharge and documentation are important but are not part of the core nursing process.
B. Assessment, planning, intervention, evaluation, discharge, follow-up. Follow-up is not a standard step in the nursing process.
C. Assessment, diagnosis, planning, interventions, evaluation, education. Education is important but is not one of the six standard nursing process steps.
D. (Re)Assessment, diagnosis, outcomes, planning, implementation, evaluation. This accurately outlines the nursing process, which involves reassessing the patient, diagnosing, setting expected outcomes, planning care, implementing interventions, and evaluating effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Verifying the information with the patient's family members at the bedside: While family members can provide insight, the most critical step is gathering information directly from the patient about the reaction.
B. Placing an alert bracelet on the patient before leaving the unit: While this is necessary, the nurse should first confirm the details of the allergy.
C. Asking the patient to describe the reaction that occurs: The nurse must determine whether the reaction is a true allergy (e.g., anaphylaxis, rash, difficulty breathing) or an intolerance (e.g., nausea, drowsiness). This ensures appropriate precautions are taken.
D. Documenting the information on the patient's medical record: Documentation is crucial but should follow verification of the allergy details.
Correct Answer is D
Explanation
A. Hypotension, urinary retention, and blurred vision: These symptoms are more characteristic of anticholinergic toxicity rather than serotonin syndrome.
B. Dizziness, lethargy, and headache: These symptoms are non-specific and do not define serotonin syndrome, which involves neuromuscular, autonomic, and mental status changes.
C. Hypomania, arrhythmias, and panic attacks:. While serotonin syndrome can cause agitation, it does not cause hypomania (a mild form of mania). Arrhythmias can occur but are not a hallmark symptom.
D. Confusion, restlessness, tachycardia, and diaphoresis: Serotonin syndrome is characterized by mental status changes (confusion, agitation), autonomic instability (tachycardia, hypertension, hyperthermia), and neuromuscular abnormalities (hyperreflexia, tremors, clonus).
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