The nurse is trying to decide what interventions will assist the patient with dyspnea to meet needs demonstrated by the patient. This phase of the nursing process is:
implementation
evaluation
planning
assessment
The Correct Answer is C
A. Implementation: Implementation occurs after interventions have been planned and involves carrying out those interventions.
B. Evaluation: Evaluation occurs after implementation to assess if the intervention was effective.
C. Planning: The planning phase involves choosing the best interventions based on patient assessment and nursing diagnosis.
D. Assessment: Assessment is gathering information about the patient, not deciding on interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Not used by anyone else but the direct care providers: Health records are used by multiple healthcare team members, including billing departments, insurance providers, and legal entities when required.
B. Concise, legal records of all care given and responses: Health records document all care provided, patient responses, and medical decisions. They serve as legal records in case of disputes or audits.
C. Owned by the patient, who has a right to see the data any time he/she wishes: The healthcare facility owns the records, but patients have a right to request access under HIPAA and other legal provisions.
D. Confidential information and cannot be taken to court: Health records can be subpoenaed and used in legal cases, provided they comply with confidentiality laws.
Correct Answer is D
Explanation
A. Physician's Order Sheet: While the physician orders narcotics, administration is not documented here.
B. Narcotic Administration Sheet: The Narcotic Administration Sheet is specifically for controlled substances, ensuring proper tracking and preventing misuse.
C. Care Plan: The care plan outlines patient goals and interventions, not medication administration.
D. MAR (Medication Administration Record) and Narcotic Administration Sheet: The MAR (Medication Administration Record) documents all medications given to the patient. The Narcotic Administration Sheet is required for controlled substances to comply with regulations.
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