While conducting a dressing change, the nurse notes a new area of skin breakdown that was caused by the tape used to secure the dressing. In which phase of the nursing process is the nurse working?

Assessment

Diagnosis

Evaluation

Implementation

Answer and Explanation

The Correct Answer is A

The nursing process consists of five phases: assessment, diagnosis, planning, implementation, and evaluation. During the assessment phase, the nurse gathers information about the client's health status and needs. In this scenario, the nurse is conducting a dressing change and notes a new area of skin breakdown. This observation is part of the assessment phase of the nursing process, as the nurse is gathering information about the client's condition. The other phases of the nursing process involve analyzing the information gathered during assessment (diagnosis), developing a plan of care (planning), carrying out interventions (implementation), and evaluating the eﬀectiveness of care (evaluation).

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Correct Answer is A

Explanation

A clear liquid diet consists of foods and ﬂuids that are clear and liquid at room temperature. This includes items such as Jell-O, carbonated beverages, and apple juice. These foods and ﬂuids are easily digested and leave no residue in the intestinal tract, making them appropriate for certain medical conditions or procedures.

A. Dorothea Dix B. Clara Barton C. Florence Nightingale D. Jane Addams

Correct Answer is B

Explanation

Clara Barton was a pioneering nurse who is best known for founding the American Red Cross in 1881. She was a hospital nurse during the American Civil War and later worked to provide aid to soldiers and civilians aﬀected by war and natural disasters. In 1881, she established the American Red Cross to provide humanitarian assistance during times of crisis. The organization continues to provide disaster relief and support to this day.

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While conducting a dressing change, the nurse notes a new area of skin breakdown that was caused by the tape used to secure the dressing. In which phase of the nursing process is the nurse working?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been prescribed a clear liquid diet. What food or ﬂuids will be served?

Correct Answer is A

Explanation

Which of the following nursing pioneers established the Red Cross in the United States in 1882?

Correct Answer is B

Explanation

A client with an upper respiratory infection (common cold) tells the nurse, "I am so angry because the nurse practitioner would not give me an antibiotic." What would be the most appropriate response by the nurse?

During an assessment, a client who is not very talkative appears pale, diaphoretic, and restless in the bed and says "leave me alone." Which subjective data should the nurse document?

A client is experiencing hypoxia. The nursing diagnosis that would be appropriate is:

A nurse is conducting an assessment on a client diagnosed with narcolepsy. The nurse should anticipate which of the following findings? Select all that apply.

When a labor and delivery nurse tells a co-worker that a client of Asian descent probably did not want any pain medication because "Asian women typically are stoic," the nurse is expressing a belief known as what?

A client has accepted the fact that they need bypass surgery for a blocked artery and has been admitted to the hospital. Which one of the following stages of illness is this client experiencing?

The nurse is oﬀering free occult blood screenings at a community health fair. Which level of practice is the nurse providing?

The client who has sleep apnoea reports falling asleep while driving, almost being involved in an accident, and frequent episodes of sleepwalking. What nursing diagnosis should be a priority for this client?