A nurse is receiving change-of-shift report for a group of assigned clients. The nurse anticipates which of the following activities first in delivering client care using the nursing process?
Collect and organize client data.
Critically analyze client data to determine priorities.
Determine effectiveness of interventions.
Set client-centered, measurable and realistic goals.
The Correct Answer is A
A. Collect and organize client data: The first step in the nursing process involves gathering and organizing data about the clients, which is essential for making informed decisions and planning care.
B. Critically analyze client data to determine priorities: Analysis of data and setting priorities come after the initial collection and organization of client data.
C. Determine effectiveness of interventions: Evaluating the effectiveness of interventions occurs after implementing the care plan and is not the first step in the process.
D. Set client-centered, measurable and realistic goals: Goal-setting follows the collection and analysis of data and is part of the planning phase in the nursing process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Explain the risks and benefits of the procedure: This is the responsibility of the provider, not the nurse. The nurse can provide information but does not explain the risks and benefits.
B. Witness the client's signature: This is the correct action for the nurse regarding informed consent. The nurse's role is to witness the client’s signature after the provider has explained the procedure.
C. Obtain the client's consent: The nurse does not obtain consent; this is the provider's responsibility. The nurse’s role is to witness the signing of the consent form.
D. Explain the procedure to the client if they do not understand: This is the responsibility of the provider who has the expertise to explain the procedure. The nurse should ensure that the client has had the opportunity to ask questions and understands the information provided by the provider.
Correct Answer is C
Explanation
A. Losartan 50.0 mg, PO, QD: The use of decimal points with trailing zeros (50.0 mg) is discouraged to avoid potential errors. It should be written as 50 mg.
B. Desmopressin .1 mL, intranasal, qd: The abbreviation "qd" (quaque die) is not recommended due to potential misinterpretation. It should be written as "daily."
C. Metformin 500 mg, 1 tablet, PO, daily: This prescription is clear and correctly formatted, including the dosage, route, and frequency without ambiguous abbreviations.
D. Zolpidem, 5 mg PO, HS: The abbreviation "HS" (at bedtime) is acceptable, but clarity and standardization are preferred, and this option is less specific compared to C.
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