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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Memory loss is not typically associated with vitamin C deficiency. Memory loss can be related to various conditions, including neurological disorders or vitamin B12 deficiency.
Choice B reason: Brittle hair can be a sign of vitamin C deficiency due to its role in collagen production, which affects the health of hair. However, it is not as specific or common as bleeding gums.
Choice C reason: Bleeding gums are a common symptom of vitamin C deficiency. Vitamin C is essential for the maintenance of healthy connective tissue, which includes the gums. A deficiency can lead to scurvy, which manifests as bleeding gums among other symptoms.
Choice D reason: Constipation is not directly associated with vitamin C deficiency. While a healthy diet rich in vitamin C can aid digestion, constipation can be caused by a variety of factors unrelated to vitamin C intake.
Correct Answer is D
Explanation
Choice A reason: Substernal retractions are not typically associated with pleural effusion; they are more indicative of conditions causing increased work of breathing.
Choice B reason: Crackles are usually heard in conditions like pneumonia or heart failure, but not typically in isolated pleural effusion unless it is associated with other lung conditions.
Choice C reason: Crepitus is generally associated with subcutaneous emphysema when air is present in the
subcutaneous tissue and is not a common finding in pleural effusion.
Choice D reason: Dullness on percussion over the lung fields is a classic finding in pleural effusion due to the presence of fluid in the pleural space.
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