Prior to administration of an antihypertensive medication, the nurse notes the client's heart rate is 50. The nurse then determines the blood pressure medication should be held. Which part of the nursing process is being fulfilled?
Assessment
Analysis
Planning
Evaluation
The Correct Answer is A
A. Assessment: Assessment involves collecting data about the client's condition. Noting the heart rate before administering medication is part of the assessment.
B. Analysis: Analysis involves interpreting the collected data to make decisions about the client's care. While the nurse is analyzing the data (the heart rate), this step follows the initial assessment.
C. Planning: Planning involves setting goals and deciding on interventions based on the assessment and analysis. Holding the medication could be considered part of planning but comes after assessing the heart rate.
D. Evaluation: Evaluation involves determining the effectiveness of interventions. This is not applicable in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Disease prevention: This is a general term and not specific to levels of prevention.
B. Tertiary: Tertiary prevention involves managing and reducing complications of established diseases.
C. Primary: Primary prevention involves actions taken to prevent the onset of disease, such as vaccinations.
D. Secondary: Secondary prevention involves early detection and treatment of diseases.
Correct Answer is B
Explanation
A. Assessment: Assessment is the initial data collection phase before intervention.
B. Evaluation: Evaluation involves determining the effectiveness of an intervention. Checking blood sugar after administering insulin is evaluating the effectiveness of the insulin.
C. Planning: Planning involves setting goals and deciding on interventions, not the follow-up.
D. Implementation: Implementation involves carrying out the planned interventions, such as administering insulin, not checking the results.
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