A nurse is changing a wound dressing for a post-op client. Which of the following steps is the nurse performing?
Planning.
Evaluation.
Assessment.
Implementation.
The Correct Answer is D
Choice A rationale
Planning involves setting goals and determining the appropriate interventions to achieve those goals. It is not the step being performed when changing a wound dressing.
Choice B rationale
Evaluation involves assessing the effectiveness of the interventions and determining if the goals have been met. It is not the step being performed when changing a wound dressing.
Choice C rationale
Assessment involves gathering data about the client’s condition. While assessment is an ongoing process, it is not the primary step being performed when changing a wound dressing.
Choice D rationale
Implementation involves carrying out the planned interventions. Changing a wound dressing is an example of implementing a nursing intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
The right circumstance refers to the appropriate setting and resources being available for the task to be delegated. It ensures that the situation is suitable for delegation, considering factors such as the patient’s condition and the complexity of the task. However, this is not the focus of the question, which is about the nurse’s demonstration during delegation.
Choice B rationale
The right communication involves clear, concise, and complete instructions given to the assistive personnel. It ensures that the delegatee understands the task, the expected outcomes, and any specific instructions or precautions. This is the correct answer because the nurse is demonstrating effective communication during the delegation process.
Choice C rationale
The right supervision refers to the appropriate monitoring and evaluation of the task being performed by the delegatee. It ensures that the nurse provides guidance, support, and feedback as needed. While important, this is not the focus of the question, which is about the nurse’s demonstration during delegation.
Choice D rationale
The right task refers to the appropriateness of the task being delegated, ensuring it is within the delegatee’s scope of practice and competency level. It ensures that the task is suitable for delegation. However, this is not the focus of the question, which is about the nurse’s demonstration during delegation.
Correct Answer is D
Explanation
Choice A rationale
A DNR order does not mean that all medical treatments are withheld. It specifically indicates that CPR will not be performed if the patient’s heart stops.
Choice B rationale
While a DNR order allows for most medical treatments, it does not mean that all treatments are provided. CPR is specifically excluded.
Choice C rationale
A DNR order does not exclude medications. Patients with a DNR order can still receive medications and other treatments.
Choice D rationale
A DNR order means that CPR will not be performed in the event of cardiac arrest, but other medical treatments, including medications and comfort care, can still be provided.
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