Nursing Process Test #2

The nurse working in a correctional facility is caring for a new prisoner. The client asks about health risks associated with living in a prison. How would the nurse respond?

"living in a prison can predispose a person to different health conditions."

The patient's temperature is 100.4F. The skin on her forehead is warm and dry. She has been incontinent, and her bed is wet. She complains of being very tired, Which data are subjective? (Select all that apply.) 1. Temperature is 100.4F 2. State, "I'm very uncomfortable.: 3. Bed is wet. 4. Compains of being very tired. 5. States, "I have a headache.:

2 4 & 5

The role of the LPN/LVN in the patient admission procedure differs from that of the RN and might include: (select all the that apply.) 1. writes nursing diagnoses for the patient's care plan 2. obtains an ordered urine specimen 3. takes the patients history 4. assists with physical data collection 5. orients the patient to the unit

2. Obtains an ordered urine specimen 3. Takes the patient's history 4. Assists with physical data collection 5. Orients the patient to the unit

The nursing evaluates the care provided to the patient by determining: 1. Whether she is beginning to improve 2. whether all planned interventions were carried out 3. whether expected outcomes have been achieved 4. whether she is well enough for discharge

3. whether expected outcomes have been achieved

A nurse is reviewing the documentation of a newly licensed nurse. Which of the following entries should the nurse identify as American Nurses Association ANA standards for documentation? 1. The client is now asleep, and they ate most of their breakfast a few hours ago. 2. the client vomited 240 mL of clear emesis but denies pain or nausea. 3. The client reports not feeling good, but they look fine. 4. The client has 8 to 10 sores on their body.

the client vomited 240 mL of clear emesis but denies pain or nausea.

a nurse is discussing the history of electronic health records during a staff in service. the nurse should identify that which of the following agencies advocated for nationwide use of EHRs?

the institute of medicine..

Which phase of the five-step nursing process is diagnosis?

Second

The nurse applies the nursing process by gathering patient information to assess the patient using which of the following methods? (select all that apply.) 1. body systems assessment 2. head-to-toe assessment 3. critical pathway 4. evidence-based practice 5. Gordon's function health patterns model

body systems assessment head to toe assessment Gordon's functional health patterns model

A nurse is preparing to administer morphine 15 mg PO every 4 hr PRN pain for a client who has a new prescription. By which of the following routes should the nurse plan to administer the medication? 1. by mouth 2. intramuscularly 3. per rectum intravenously

by mouth

The patients temperature is 100.4 F. The skin on her forehead is warm and dry. She has been incontinent, and her bed is wet. She complains of being very tired. Which nursing intervention should be the highest priority? 1. Allow the patient to rest 2. Change the bed linens and gown 3. Medicate for headache pain 4. apply lotion to the skin

change the bed linens & gown

a newly licensed nurse is orienting to a facility's documentation system. The facility requires staff to only document variations from an expected set of findings when performing a physical assessment. The nurse should identify this system as which of the following documentation methods? 1. charting by exception 2. subjective, objective, assessment, plan 3. problem, intervention, evaluation 4. data, action, response

charting by exception

the nurse is volunteering with an outreach program to provide basic health care for homeless people. Which finding, if noted must be addressed first?

complaints of pain associated with numbness and tingling in both feet

A nurse is performing a respiratory assessment on a client. the nurse auscultates a wet, popping sound upon inspiration of the client's breathing. the nurse should identify this observation as which of the following findings? 1. crackles 2. stridor 3. wheezes 4. friction rub

crackles

A postoperative patient is having incisional pain. As part of the nurse's assessment, the nurse notes that the patient is grimacing when changing positions. The patient's grimace be useful in the assessment and can be described in what manner? 1. nursing diagnosis 2. cue 3. diagnosis 4. inference

cue

a nurse manager is reviewing the documentation of four newly licensed nurses. Which of the following medication entries should the nurse identify as being written correctly? 1. synthroid 100 mg PO every morning ac 2. Enoxaparin 75 mg SQ bid 3. Digoxin 0.25 mg PO qd 4. Metformin 500.0 mg PO with evening meal

synthroid 100 mg PO every morning ac

which teaching method is most effective when providing instruction to members of special populations?

teach-back

A nurse is documenting information in a client's chart and makes the entry "client reports abdominal pain on exertion." Which of the following documentation formats describes this entry? 1. the "I" in PIE 2. the "S" in SOAP 3. the "R" in DAR 4. the "E" in PIE

the "S" in SOP

a nurse is assessing a client's cranial nerves. which of the following client actions is an indication that cranial nerve I is intact? 1. the client can stick their tongue out. 2. the client can smile symmetrically 3. the client can hear whispered words 4. the client can identify a minty scent

the client can identify a minty scent.

a nurse is performing a general client survey and finds that the client has. body mass index BMI of 23. which of the following should the nurse document? 1. the client has no nutritional issues or deficits. 2. the client is at high risk for obesity-related health problems 3. the client will need a referral to a dietitian 4. the client has a BMI within the expected reference range.

the client has a BMI within the expected reference range

Which information is considered objective data? 1. Medical history of a patient 2. chief problem 3. review of body systems 4. lab results

lab results

How do concept maps assist critical thinking? (select all that apply.) 1. They help point out relationships among the data. 2. they link interventions, health problems, and nursing diagnosis. 3. they provide a timeline pattern to improve planning. 4. they help students synthesize pertinent data 5. they identify care coordination roles using color codes.

1 2 & 4

priorities of care-giving change constantly because: (select all that apply.) 1. The nurses workload may change as patients are admitted. 2. primary care providers' orders may change throughout the shift. 3. a patients condition may deteriorate 4. tests or therapies involve scheduled time off the unit. 5. many visitors are in the room to assist the patient.

1 2 3

a nurse is reviewing documentation guidelines with a newly licensed nurse. Which of the following abbreviations should the nurse not as being on The Joint Commision's Do Not Use List? (Select all that apply.) 1. MSO4 2. IU 3. PO 4. qhs 5. NKA

1 2 4

Attributes of critical thinkers include: (select all that apply.) 1. admitting what you donk't know. 2. consulting with primary care providers 3. anticipating problems 4. reflecting on experience 5. accepting others' decisions 6. being confident about your decisions. 7. recognizing inconsistencies in gathered data.

1 3 4 6 7

A charge nurse is reviewing characteristics of electronic documentation with staff at a provider's office. Which of the following characteristics should the charge nurse plan to include? (select all that apply) 1. reduces medical errors 2. improves listening skills among interdisciplinary team members 3. less convenient than paper-based charting 4. makes client medical history more easily available 5. increases accuracy of coding procedures.

1 4 5

Which principles is most important when setting priorities for patient care? 1. Classifying nursing diagnosis and interventions as high, medium, and low 2. Reevaluate and assess your priorities every 45 minutes 3. Respond to the loudest, most difficult patients first so the others can rest 4. Keep patients with visiting family well informed, but delay treatments

1 Classifying nursing diagnosis and interventions as high, medium, and low

The nurse is preparing to administer morning medications Which action(s) does the nurse implement to identify the patient before administering medications? (select all that apply.) 1. Asks the patient his or her name & birth date 2. Asks another nurse to identify the patient 3. checks the patient's identification band 4. Asks the roommate to verify the patient's name if the patient is confused 5. Check the name on the foot of the bed.

1 and 3

You assist a patient with her bath, change her dressing, rub her back, give her medication review her dietary needs, and assist with physical therapy exercises. Which are examples of interdependent nursing actions

1. reinforcing dietary teaching 2. assisting with her exercises

Before carrying out a dependent nursing action, the nurse: (select all that apply.)

1. verifies that the physician's order is on the chart 2. considers whether there is any contraindications for the action 3. schedules an appropriate time to carry out the action 4. gathers all equipment and supplies needed for the action

As part of an assessment, the nurse asks for information from the patient. This information is subjective indication of illness perceived by the patient and is called a/an:

symptom

A patient develops edema as an adverse effect to a prescribed medication. A gain of 5 pounds has occurred in 24 hours, and 2+ edema is present in the legs. Which nursing diagnosis statement does the nurse allocate to this patient? 1. Excess fluid volume related to calcium ion antagonist therapy (nifedipine) as evidence by dependent edema (2+) and weight gain of 5 pounds in 24 hours. 2. Excess fluid volume related to medication therapy, manifested by 5-pound weight gain and leg edema. 3. Excess fluid volume related to adverse effects of medications, as evidence by unknown etiology. 4. Risk for fluid volume imbalance related to adverse effects of medications.

2. Excess fluid volume related to medication therapy, manifested by 5-pound weight gain and leg edema.

Which is a correctly stated expected outcome? 1. sit in the chair three times a day 2. patient will walk to the end of the hall this week 3. use the incentive spirometer every 2 hours for 3 days 4. patient will respond to pain medication

2. patient will walk to the end of the hall this week

Which is an example of an independent nursing action? (Select all that apply.) 1. maintaining and modifying the medication orders 2. collaborating with qualified professionals about medication calculations 3. educating a patient on correct coughing and deep breathing exercises 4. obtaining the patient's medication history 5. documenting assessments of a patient's lung sounds.

3 4 & 5

Which statement correctly describes a nursing diagnosis when compared with a medical diagnosis? 1. Nursing diagnoses and medical diagnoses 2. A nursing diagnosis supports a medical diagnosis 3. Medical and nursing diagnoses are not related to one another 4. The nursing diagnosis describes a patient response to the medical diagnosis.

4. The nursing diagnosis describes a patient response to the medical diagnosis.

When evaluating a patient admitted with a lower respiratory tract infection, which data are most important for the nurse to obtain? 1. level of pain or discomfort 2. medications taken at home 3. duration of the illness 4. bilateral lung sounds

4. bilateral lung sound

The nurse finds the client lying on the floor. The N calls the RN, who checks the P and then calls the nursing supervisor and the primary health care provider to inform them of the occurrence. The nurse completes the incident report for which purpose?

A method of promoting quality care and risk management.

The nurse is caring for a female client in ER who presents with a complaint of fatigue and shortness of breath. Which physical assessment finding, if noted by nurse, warrant need for follow up?

A reddish-purple mark on the neck

The nurse caring for a refugee considers which health care need a priority for this client?

Access to mental health care services

Which action by the nurse will best facilitate adherence to the treatment regimen for a client with a chronic illness?

Arranging for home health care

N enters a client's room and notes that client lawyer is present and that the client is preparing a living will. The living will requires that clients signature be witnessed, and the client asks the nurse to witness the signature. Which is the appropriate nursing action?

Decline to sign the will.

Which type of nursing action occurs when the nurse administers a medication to a patient?

Dependent

The nurse arrives at work and is told to report (float) to the pediatric unit for the day because the unit is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the pediatric unit. Which is the appropriate nursing action?

Report to the pediatric unit & identify tasks that can be safely performed.

Which correctly identifies the NMDS classification system?

Nursing Minimum Data Set

Nurse assisting in planning care for a military veteran must prioritize nursing interventions targeted at managing which condition, if present, that commonly occurs in the is population?

PTSD

Which step of the nursing process is used when the nurse identifies the therapeutic intent of a prescribed medication?

Planning

Which identifies accurate documentation notations? Select all that apply.

The client slept through the night. Abdominal wound dressing is dry and intact without drainage. The clients left lower medial leg wound is 3 cm in length without redness, drainage, or edema.

Which of the following nursing actions is the best example of problem solving? 1. Requesting the IV team to start an antibiotic drip on a patient with a history of being a difficult stick. 2. Offering to call the kitchen to provide an alternate breakfast for a patient who does not like cooked cereal. 3. Trying several difficulty wound dressings to determine which one the patient can apply the most effectively. 4. Calling for another pain medication order when the current drug results in the patient experiencing nausea.

Trying several difficult wound dressings to determine which one the patient can apply the most effectively.

Which of the following is an example of a nurse's statement that reflects using the scientific method in the nursing process? 1. "I believe that this patient is getting depressed." 2. "The patient doesn't look right to me; I think something is wrong." 3. "The patient's husband told me that she is feeling very uncomfortable." 4. "The patient reports more pain than yesterday and her blood pressure is elevated."

The patient reports more pain than yesterday and her blood pressure is elevated

Unconscious P, bleeding profusely, brought into ER after a serious accident. Surgery is required immediately to save the P life. With regard to informed consent for surgical procedure, which is best action?

Transport P to OR immediately without obtaining an informed consent.

a nurse is performing a physical examination of the spine for an older adult client. the nurse should identify that which of the following findings is common with aging? 1. lordosis 2. kyphosis 3. ankylosis 4. scoliosis

kyphosis

A nurse is performing a cardiovascular assessment on a client. which of the following findings should the nurse expect? 1. a continuous sensation of vibration felt over the second and third left intercostal spaces. 2. a high pitched, scraping sound heard in the thrid intercostal space to the left of the sternum 3. a brief felt near the fourth or fifth intercostal space near the left midclavicular line 4. a whooshing or swishing sound over the second intercostal space along the left sternal border.

a brief thump felt near the fourth or fifth intercostal space near the left midclavicular line

a nurse is reviewing documentation principles with a group of newly hired assistive personnel (AP). Which of the following information should the nurse include? 1. Providers designate to other staff which abbreviations cannot be used. 2. A nurse who delegates a task to an AP will review the charting for that task. 3. Providers read and cosign nursing documentation for accuracy 4. licensed personnel should document out of range vital signs for AP.

a nurse who delegates a task to an AP will review the charting for that task.

A nurse is discussing problem-oriented medical records with a group of newly licensed nurses. Which of the following information should the nurse include? 1. a problem-oriented medical record is created using the PIE model for documentation entries 2. a problem oriented medical record contains separate sections for labs & diagnostic info 3. a problem-oriented medical record promotes information sharing among members of the interdisciplinary team. 4. a problem-oriented medical record is rarely used in acute care settings.

a problem oriented medical record promotes information sharing among members of the interdisciplinary team.

Which one of the following sets of assessment data is most likely to be present with the nursing diagnosis risk for infection 1. fever, dysuria, change in urine concentration, & urinary urgency. 2. Abdominal pain, sore mouth, hyperactive bowl sounds, & leukopenia. 3. Fatigue, electrocardiograhpic changes, dependent edema, & activity intolerance. 4. abdominal incision, decreased hemoglobin, & indwelling catheter present.

abdominal incision, decreased hemoglobin, & indwelling catheter present

When is the nurse supposed to use the evaluation step of the nursing process? 1. Upon admission 2. when the patient is ready for discharge 3. after each intervention 4. during the review of patient education

after each intervention

Before LPN carries out any interventions such as the administration if a medication, she must know: 1. the reason for the intervention 2. the usual standard of care 3. the expected outcome 4. any potential danger 5. all of the above

all of the above

A student nurse, is learning about care plans. She knows all of the following are true regarding care plans except: 1. the family & patient are invited to the care planning 2. the care plan for the home health patient encompasses the needs & concerns of the family as well as the patient 3. an LPN is responsible for constructing the care plan 4. students are required by most instructors to come to the clinical experience with a nursing care plan in hand for assigned patients.

an LPN is responsible for constructing the care plan.

arrange the components of the nursing process in the proper order

assessment diagnosis planning implementation evaluation ADPIE

A patient who is 14 hours post operative complains of shortness of breath. Which action should be implemented first? 1. Auscultate the lungs 2. question about previous shortness of breath 3. check for an order for oxygen therapy 4. reassure the patient

auscultate the lungs

a nurse is performing preparing to conduct a romberg test on a client. the nurse should explain to the client that the romberg test is used to assess which of the following characteristics? 1. gait 2. hearing 3. vision 4. balance

balance

a nurse is preparing to perform a comprehensive physical assessment on a client. which of the following actions should the nurse plan to take first? 1. document accurate date 2. develop a plan of care 3. validate previous data 4. evaluate outcomes of care

develop a plan of care

LPN enters P room finds P lying on the bathroom floor. LPN calls RN, who check P thoroughly & then assists P back into bed. LPN completes an incident report, nursing supervisor & PHCP are notified of incident. Which is next nursing action regarding incident?

document complete entry into the client's records concerning the incident

a nurse is assessing a clients peripheral vascular status of the lower extremities. the nurse should place their fingertips on the top of the clients foot, between the tendons of the great toe and those of the toe next to it, in order to palpate which of the following pulses? 1. posterior tibial 2. popliteal 3. dorsalis pedis 4. femoral

dorsalis pedis

Clinical reasoning is most important when: 1. planning wound care for a pressure injury. 2. organizing nursing care for several patients 3. collaborating with other health team members 4. drawing sound conclusions from assessment data.

draw sound conclusions from assessment data

Linda knows as part of her nursing assignment that she is to review & update the nursing care plan on her patients: 1. hourly 2. every shift 3. every 24 hours 4. weekly

every 24 hours

A nurse is discussing legal regulations regarding medical records with a newly hired assistive personnel. Which of the following information should the nurse include? 1. American Nurse Association ANA standards prevent client records from being used for legal proceedings 2. HIPAA regulations vary form one state to another 3. Privacy regulations apply to electronic data transfer rather than verbal communication 4. facilities can establish their own rules for documentation methods

facilities can establish their own rules for documentation methods.

A difference is the assessment of the patient entering a long-term care facility versus that of a hospital patient is that the long-term care resident is assessed for: 1. functional abilities 2. psycho social concerns 3. emotional concerns 4. skin problems

functional abilities

a staff nurse is evaluating a newly licensed nurse's understanding of telephone prescriptions. Which of the following statements by the newly license nurse indicates an understanding of the information? 1. i can take a telephone prescription if a provider is making routine rounds in another area of the facility 2. i can take a telephone prescription if a provider is directing a code for an unresponsive client 3. if a client requires an over the counter medication for relief of nausea, it is okay to accept a telephone prescription. 4. if a client requires pain control for a terminal condition, it is okay to accept a telephone prescription.

i can take a telephone Rx if provider is directing a code for an unresponsive patient

A nurse is talking with a client about their electronic health record at the facility. which of the following client statements indicates an understanding of EHRs? 1. i will be able to track my health information 2. my personal information will be entered into a national database 3. i will have one EHR that will encompass the health care I've received over my lifetime 4. the goal of EHRs is to improve insurance coding.

i will be able to track my health information

After LPN has given her patient medication, she returns later to the patient's room to evaluate the effectiveness of the medication. She knows that in the evaluation phase of the nursing process: 1. the nursing process has been completed 2. she doesn't need to revise the care plan if needs aren't met 3. if the expected outcomes are considered met, the nurse's notes must contain data to support this. 4. there will be no further need for reassessment.

if the expected outcomes are considered met, the nurse's notes must contain data to support this.

an LPN is helping her patient understand the side effects of medication. This is what type of action? 1. independent 2.dependent 3. interdependent 4. evaluation

independent does not require a physician's order

a nurse is teaching a newly license nurse about using a stethoscope. which of the following instruction should the nurse include? 1. insert the earpieces at a downward angle toward your nose 2. use the diaphragm to listen to low pitched sounds 3. drape the stethoscope over your neck when not in use 4. clean the stethoscope by immersing it in soapy water.

insert the earpieces at a downward angle toward your nose

a nurse is performing a complete, head to toe physical examination for a client. which of the following phsyical assessment techniques should the nurse perform first? 1. ausculation 2. inspection 3. percussion 4. palpation

inspection

Which statement about a critical care pathway is true? 1. It is a standardized care plan derived from "best practice" patterns. 2. It documents the plan for admission. 3. It is designed to serve as a communication tool specifically for nurses. 4. It helps the nurse to develop a detailed treatment plan for a patient who is in critical condition

it is a standardized care plan derived from "best practice" patterns

Critical thinking will help you in the clinical setting to: 1. delegate work more efficiently. 2. make good decisions most of the time. 3. identify the best nursing diagnoses 4. write care plans more effectively

make good decisions most of the time

A nurse has established expected outcomes for an assigned patient. The nurse carries out this important activity for the purpose of: 1. evaluating the occurrence of complications. 2. measuring quality of care. 3. measuring the effectiveness of nursing interventions. 4. stopping care when outcomes are met.

measuring the effectiveness of nursing interventions

Which correctly distinguishes a nursing diagnosis from a medical diagnosis? 1. Nursing diagnosis refers to the patient's ability to function in activities of daily living. 2. Medical diagnosis tends to vary depending on the patient's rate of recovery. 3. Nursing diagnosis focuses on alterations in the patient's function and structures. 4. Nursing diagnosis results in diagnosis of disease that impairs normal physiologic function.

nursing diagnosis refers to the patient's ability to function in activities of daily living

What is the difference between nursing interventions and expected outcome statements? 1. Nursing interventions are action statements, and expected outcome statements are used to identify problems. 2. Expected outcome statements are action statements, and nursing interventions are what will be observed in the patient after specific actions. 3. Nursing interventions are action statements, and expected outcome statements are what should be observed in the patient after specific actions. 4. Expected outcome statements are action statements, and nursing interventions are prioritized goals.

nursing interventions are action statements, and expected outcome statements are what should be observed in the patient after specific actions.

Input from the _______ during the planning stage of the nursing process results in greater success

patient

term-5All of the following components can be found on the chart except the: 1. face sheet. 2. physician's order 3. patient's history & physical 4. patient's nurse assignment

patient's nurse assignment

A nurse is preparing an in service about hipaa. which of the following information should the nurse plan to include? 1. accessing the medical record of clients on units other than where you are assigned is allowed 2. there are large financial penalties for charting vital signs you obtain for another nurse's client 3. personnel can be terminated for breaching a client's confidentiality 4. once you have cared for a client, it is acceptable to look at their medical record on subsequent health care visits.

personnel can be terminated for breaching a clients confidentiality

The use of evidence-based practice to guide the formulation of nursing interventions based on research and clinical expertise is part of which component of the nursing process? 1. assessment 2. nursing diagnosis 3. planning 4. evaluation

planning

Which is an example of clinical judgment? 1. weighting the pros and cons of which school to send your children to 2. deciding which nursing midterm exam to study for first. 3. Prioritizing which call light to answer first. 4. answering the primary care provider's question in a diplomatic manner.

prioritizing which call light to answer first

a nurse is palpating a tender area of a clients abdomen. the nurse slowly applies pressure over the area with their fingertips, then quickly releases it. the client reports increased pain on the release of pressure. which of the following findings should the nurse document? 1. borborygmi 2. rebound tenderness 3. tympany 4. abdominal guarding

rebound tenderness

A charge nurse is reviewing soap documentation with a group of newly license nurses. which of the following chart entries should the nurse include as an ex of objective date? 1. the client states"ice had abdominal pain for the past three days" 2. the client reports consuming about 1,500 mL of water per day. 3. rebound tenderness noted in RLQ of the abdomen 4. recommend client referral to a registered dietitian.

rebound tenderness noted in RLQ of the abdomen

N observes P received pain meds 1 hour ago from another N, but P still has severe pain. N has previously observed this same occurrence several times. Based on N practice act, the observing N should plan to take which action?

report the info to a N supervisor

a nurse is performing an abdominal assessment on a client. over which of the following areas of the client's abdomen should the nurse attempt to auscultate active bowel sounds first? 1. right upper quadrant 2. left upper quadrant 3. right lower quadrant 4. left lower quadrant

right lower quadrant

Which type of nursing diagnosis involved the potential for a complication of drug therapy? 1. actual 2. risk/high risk 3. health promotion and/or wellness 4. syndrome

risk/high risk

Nurse working in community outreach program for foster children plans care knows that which health conditions are common in this population? select all that apply.

sleep problems bipolar disorder aggressive behavior ADHD

An example of a dependent nursing action would be: 1. starting the continuous passive motion (CPM) machine 2. providing a back massage 3. Encouraging the consumption of more fluid 4. changing the patient's linens after an episode of incontnence

starting the continuous passive motion( CPM) machine

The nurse understand it is important to know the difference between a nursing diagnosis and a medical diagnosis because of which factor? 1. The nursing diagnosis does not have any bearing on the medical diagnosis. 2. The medical diagnosis must agree with the nursing diagnosis. 3. The nursing diagnosis refers to how the patient is responding to an illness identified in the medical diagnosis. 4. The medical diagnosis refers to how the patient is recovering from the illness that the nursing diagnosis has established.

the nursing diagnosis refers to how the patient is responding to an illness identified in the medical diagnosis

Which assessment finding is considered primary, objective information? 1. The patient states that his temperature has been 98.8 F. 2. The patient's daughter states her father reports nausea after taking his medication 3. the patient states he feels dizzy whenever he takes his medication. 4. the patient reports a sore throat after taking his regular medications.

the patient states that his temperature has been 98.8F

Which is a measurable goal statement for a patient taking insulin injections? 1. The patient will have a good understanding of a diabetic diet. 2. The nurse will demonstrate to the patient and family self-administration of insulin. 3. The patient will be able to self-administer insulin infections 2 weeks after initial training. 4. The nurse will explain to the patient and family how insulin works in the body.

the patient will be able to self-administer insulin injections 2 weeks after initial training.

During the implementation of the nursing process: 1. the planned nursing interventions are carried out. 2. reassessment of data is used to determine whether the expected outcomes have been achieved. 3. revision of the nursing care plan is performed. 4. goals are established for the patient.

the planned nursing interventions are carried out

When the nurse decides that the patient needs to rest before ambulating, the decision is based on what factor? 1. the patient's wishes 2. the family's influences 3. the prioritization of physiologic needs 4. the healthcare provider's orders

the prioritization of physiologic needs

a nurse is taking an admission. history from a client who is concerned about the facility using an electronic documentation system. which of the following information should the nurse include as a benefit of electronic documentation? 1. the system alerts providers of possible actions that could cause client harm 2. an electronic system prevents breaches of confidentiality of client data 3. providers can document client information in the electronic record during system downtime. 4. system encryption eliminates the need for security firewalls.

the system alerts providers of possible actions that could cause client harm.

Which is most appropriate when communicating with a transgender person?

using preferred pronouns