What is the only part of the nursing process a LPN cannot do? - diagnose
The nurse can act, assess or teach during this phase? - implementation
What part of the process do you gather information from sources such as the chart so it can be analyzed
- assessment
What is another name for a goal? - Planning
The nurse states to the client: "we need to get you up and moving today". This is an example of a SMART
goal? - False
An actual nursing diagnosis has 3 parts; the statement, the related to and the as manifested (evidenced)
by. The nurse can describe the related to as the reason(s) why the client has the nursing diagnosis. -
True
The client stating s/he feels nauseated is an example of objective data. - False
The nurse implements the following intervention: Administers 1000 mg acetaminophen PO. This is an
example of which type of intervention?
a) independent
b) dependent
c) interdependent - B) dependent
Shortness of breath, temperature 100.4, hypoactive bowel sounds x4, RBC 4.6, and statements of pain
are all examples of which component of the nursing diagnostic statement?
, a) as manifested (evidence) by (defining characteristics)
b) related to ( related factors)
c) nursing diagnostic statement - B) as manifested (evidence) by (defining characteristics)
A risk for nursing diagnosis has 3 components; diagnostic statement, related factors (RT), and defining
characteristics (AMB) - False
What part of nursing process would you ask: Were the interventions chosen beneficial? - Evaluation
What part of the nursing process is listed: Statment, RT, AMB - diagnose
What part of the nursing process is the: collection of objective and subjective data - Assessment
What part of the nursing process includes: Dependent, independent, and interdependent -
implementation
Nursing diagnosis need to be prioritized when providing effective client care. Place the following nursing
diagnosis in order of importance with 1 being most important and 3 being least important.
Impaired Gas Exchange (A)
Risk for Falls (B)
Impaired Skin Integrity (C) - A,C,B
The nurse records the following information: The client stated pain level of 2/10 after pain medications
were given
(what part of nursing process would this be) - Evaluation
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