After completing the planning step of the nursing process for a client who has an acid-base imbalance, which of the following steps should the nurse take next?
Evaluation
Data Collection
Re-collection of Data
Implementation
The Correct Answer is D
Choice A reason: Evaluation is the final step of the nursing process, where the nurse assesses the client's response to the nursing interventions.
Choice B reason: Data Collection is the first step of the nursing process, where the nurse gathers information about the client's health status.
Choice C reason: Re-collection of Data may be necessary if there are changes in the client's condition, but it is not the immediate next step after planning.
Choice D reason: Implementation is the correct answer because it is the step where the nurse puts the care plan into action, following the planning step.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Warm water should be used to clean the skin, as hot water can cause further irritation.
Choice B reason: Friction should be avoided when drying the skin to prevent damage. The skin should be patted dry
gently.
Choice C reason: Soap can be too harsh and drying for the skin, especially if it is already compromised by incontinence. A mild, pH-balanced cleanser is recommended.
Choice D reason: A barrier cream is essential to protect the skin from moisture and irritants found in urine, which can lead to skin breakdown and incontinence-associated dermatitis.
Correct Answer is B
Explanation
Choice A reason: Magnesium is important for many processes in the body, including nerve transmission and the regulation of muscle contractions, but it is not primarily used for oxygen transport.
Choice B reason: Iron is a key component of hemoglobin, the protein in red blood cells that carries oxygen from the lungs to the rest of the body. The normal range for iron in the blood is typically 50 to 170 micrograms per deciliter for men and 65 to 165 micrograms per deciliter for women.
Choice C reason: Potassium is crucial for heart function and plays a key role in skeletal and smooth muscle contraction, making it important for normal digestive and muscular function, but not directly for oxygen transport.
Choice D reason: Phosphorus helps form bones and teeth and is involved in the body's utilization of carbohydrates and fats, as well as the synthesis of protein for the growth, maintenance, and repair of cells and tissues, but it does not transport oxygen.
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