ADN 110 Managing care

Prioritize the nursing diagnoses.

A nurse has developed a plan of care for an adult client. What is a nursing function that is important when using a nursing diagnosis to guide the care of this client?

Assist a client to ambulate and sit on a bedside chair

A nurse plans the nursing activities for the shift. Which of the following activities should the nurse assign to the nursing assistant?

It is a framework for providing care

A nursing instructor is describing the nursing process to a class. Which of the following would the instructor include as a characteristic?

The nurse transfers responsibility but is accountable for the outcome.

A nurse delegates a specific intervention to a UAP. What implications does this have for the nurse?

Assessment

An older adult client is being admitted into the hospital for treatment of a fractured hip. What is the first part of the nursing process that must be carried out in order to determine the need for nursing care?

Implementation

As you are completing your nursing rounds, you notice the patient has slumped down in bed. You assist him up in bed and settle him more comfortably, but he grimaces and tenses his body. You do a complete pain assessment, check the time of his last analgesic, and prepare the medication. As you give him the medication, you are accomplishing which step of the nursing process?

implementing

Based on an established plan of care, a nurse turns a patient every 2 hours. What part of the nursing process is the nurse using?

Nursing assistant

The nurse is assigned a client who had an uneventful colon resection two days ago and requires a dressing change. To which nursing team member should the nurse avoid delegating the dressing change?

Nursing assistant who is a nursing student

The nurse is coordinating care for the client with continuous pulse oximetry who requires pharyngeal suctioning. Which staff member should the nurse avoid delegating the task of suctioning?

Trial-and-error problem solving

The nursing process is based upon the process of problem solving. What type of problem solving is the nurse using if she attempts to obtain a blood pressure on the patient's right arm, the left arm, the left leg, and then finally the right leg where a blood pressure is finally obtained

Reflection

What is meant by intellectual and affective activities in which individuals engage to explore their experiences in order to lead to new meanings and appreciations?

implementing

When the nurse is administering Lasix 20 mg to a patient in congestive heart failure, what phase of the nursing process does this represent?

Checking the patient's blood pressure 30 minutes after administering the captopril

Which of the following activities is the clearest example of the evaluation step in the nursing process?

Assessment

Which of the following steps in the nursing process is the careful taking of a history and a nursing examination?

Planning

Which step of the nursing process involves setting long-term goals and short-term expectations?