A review of a patient's nursing care plan before beginning care allows the nurse to:
make revisions in the plan as indicated by the shift report.
skip the shift report and begin with the initial assessment.
begin nursing interventions without needing an initial assessment.
use critical thinking skills to organize care for the patient.
The Correct Answer is D
A. Make revisions in the plan as indicated by the shift report.
Reviewing the nursing care plan before beginning care allows the nurse to integrate the information from the shift report into the plan. If there are necessary revisions based on the shift report, the nurse can make informed adjustments to the care plan.
B. Skip the shift report and begin with the initial assessment.
Skipping the shift report is not advisable. Shift reports are crucial for continuity of care. The nurse needs to receive information about the patient's condition and ongoing care before starting the shift.
C. Begin nursing interventions without needing an initial assessment.
Starting interventions without an initial assessment can be unsafe and ineffective. Assessments provide the foundation for understanding the patient's current condition and planning appropriate care.
D. Use critical thinking skills to organize care for the patient.
Reviewing the care plan before starting care enables the nurse to utilize critical thinking skills. By understanding the existing care plan and the patient's current status, the nurse can organize and prioritize care effectively, making informed decisions based on the patient's needs and the provided care plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4"]
Explanation
To calculate the number of 40mg capsules needed for a 2-grain dose, you need to convert grains to milligrams since the supply is given in milligrams (mg).
1 grain is approximately equal to 64.8 milligrams.
Now, let's calculate:
2 grains * 64.8 mg/grain = 129.6 mg
So, the nurse would give 129.6 milligrams of the medication. Since the supply is in 40mg capsules, you'll need to divide the total dose by the amount in each capsule to determine the number of capsules needed:
129.6 mg / 40 mg/capsule ≈ 3.24
Since you can't give a fraction of a capsule, the nurse would give 4 capsules to achieve a dose of approximately 129.6 milligrams.
Correct Answer is C
Explanation
A. Assessment:
Explanation: Assessment is the first step in the nursing process. It involves gathering information about the patient's health status. This can include a patient's medical history, physical examination, and other vital signs. It's the phase where the nurse collects data to identify the patient's problems or needs.
B. Nursing Diagnosis:
Explanation: Nursing diagnosis is the second step in the nursing process, following assessment. During this step, the nurse analyzes the data collected during the assessment to identify nursing diagnoses or issues. Nursing diagnoses are clinical judgments about individual, family, or community responses to actual or potential health problems or life processes.
C. Evaluation:
Explanation: Evaluation is the last step in the nursing process. It involves assessing the patient's response to nursing interventions and determining if the goals and outcomes have been met. In the given scenario, the nurse is evaluating whether the pain medication administered 45 minutes ago has had the desired effect and has relieved the patient's pain.
D. Implementation:
Explanation: Implementation is the third step in the nursing process. During this phase, the nurse carries out the care plan that was designed during the planning phase. This can involve a variety of nursing actions, including administering medications, providing treatments, and educating patients. In the context of the scenario, giving pain medication is part of the implementation phase.
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