A nurse assesses - Study guides, Class notes & Summaries

"The nursing process is _____" - dynamic *PRIORITIZATION AND DELEGATION* - *PRIORITIZATION AND DELEGATION* *STEPS OF THE NURSING PROCESS* - 1. assessment 2. diagnosis 3. planning 4. implementation 5. evaluation 1st method of data collection - Interiew patient, health history. Patient is your primary source 2nd method of data collection - Physical examination ( guided by subjective and objective) 3 part nursing diagnosis (diagnosis) - P:problem; ex impaired physical mobility E: etiolo...

HESI PHARMACOLOGY PRACTICE QUESTIONS FOR FINAL A client is receiving clonidine (Catapres) 0.1 mg/24hr via transdermal patch. Which assessment finding indicates that the desired effect of the medication has been achieved? A. Client denies recent episodes of angina. B. Change in peripheral edema from +3 to +1. C. Client denies recent nausea or vomiting. D. Blood pressure has changed from 180/120 to 140/70. Correct - ANSWER Catapres acts as a cen...

A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased systolic pressure. This assessment is most consistent with: - Answer- cardiac tamponade. The nurse is caring for a patient with severe sepsis and third-degree heart block. The patient is hypotensive. The treatment for this life-threatening rhythm change includes: - Answer- transcutaneous pacing. A patient is admitted to the ICU with suspected cervical spinal cord injury following a motor vehicle accident. Th...

Brunner and Suddarth's Textbook of Medical Surgical Nursing 15th Edition | Janice L Hinkle, Kerry H. Cheever | Complete Chapters 1-68. The nurse is providing care for a client who has a diagnosis of pneumonia due to Streptococcus pneumonia infection. What aspect of nursing care would constitute part of the planning phase of the nursing process? A. Achieve SaO2 92% at all times. B. Auscultate chest q4h. C. Administer oral fluids q1h and PRN. D. Avoid overexertion at all times. ANS: A R...

Test Bank For Essentials for Nursing Practice 9th Edition (Potter 2023) /All Chapters A+. Chapter 01: Professional Nursing Potter: Essentials for Nursing Practice, 9th Edition MULTIPLE CHOICE 1. Which action by the nurse demonstrates implementation of Florence Nightingale’s original theories about nursing care? a. The patient is gently bathed and given fresh linens after giving birth. b. The nurse forms a close therapeutic relationship with the patient. c. The nurse helps the patient...

TEST BANK CONCEPTS FOR NURSING PRACTICE 3RD EDITION BY JEAN FORET GIDDENS | ACTUAL QUESTIONS AND ANSWERS MULTIPLE CHOICE 1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to assess for needs related to a. anticipatory guidance. b. low-risk adolescents. c. physical development. d. sexual development. ANS: A The HEADSS Adolescent Risk Profile is a psych...

HESI Fundamentals Exam/ HESI Fundamentals Practice Test | 200 Questions and Verified Answers (2023/2024) Q: A client with Raynaud's disease asks the nurse about using biofeedback for self- management of symptoms. What response is best for the nurse to provide? Answer: Biofeedback allows the client to control involuntary responses to promote peripheral vasodilation. Biofeedback involves the use of various monitoring devices that help people become more aware and able to control the...

ATI CARE OF CHILDREN RN 2019 PROCTORED EXAM - LEVEL 3!. PEDS 2019 ( 70 QUESTIONS WITH CORRECT ANSWERS) PEDS 2019 1. A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective? a. An increase in venous pressure b. a decrease in peripheral edema c. a decrease in cardiac output d. an increase in potassium levels 2. A nurse is assessing a...

ATI MED-SURG PROCTORED EXAM TEST BANK LATEST 2023 (NEW) {NGN}WITH REVISED AND FULL 100% CORRECT ANSWERS. MULTIPLE CHOICE 1. Which question asked by the nurse will give the most information about the patient’s metastatic bone cancer pain? a. “How long have you had this pain?” b. “How would you describe your pain?” c. “How much medication do you take for the pain?” d. “How many times a day do you take medication for the pain?” ANS: B 2. A patient who uses a fentanyl ...

ATI Adv. Med-surg FINAL EXAM 1. A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is pending an escharotomy. The client’s spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate? a. “large incisions will be made in the eschar to improve circulation” b. “ I can call the doctor back here if you want me to” c. “a piece of skin will be removed and grafted ov...