The RN has completed an assessment on a client. What should the nurse do next?
Reassess the patient
Write nursing interventions
Analyze cues
Create SMART goals
The Correct Answer is C
Choice A reason: This is not the correct answer because reassessing the patient is not the next step after completing an assessment. Reassessment is done periodically or when there is a change in the patient's condition, but not immediately after the initial assessment.
Choice B reason: This is not the correct answer because writing nursing interventions is not the next step after completing an assessment. Nursing interventions are the actions that the nurse plans and implements to achieve the desired outcomes for the patient. They are based on the nursing diagnoses, which are derived from the analysis of the assessment data.
Choice C reason: This is the correct answer because analyzing cues is the next step after completing an assessment. Analysis is the process of identifying patterns, relationships, and trends in the assessment data, and comparing them with the normal and expected findings. Analysis helps the nurse to identify the patient's problems, needs, strengths, and risks.
Choice D reason: This is not the correct answer because creating SMART goals is not the next step after completing an assessment. SMART goals are the specific, measurable, achievable, realistic, and time-bound outcomes that the nurse and the patient agree on. They are based on the nursing diagnoses, which are derived from the analysis of the assessment data.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is E
Explanation
Choice A reason: Assessment is the first phase of the nursing process, where the nurse collects data about the patient's health status, needs, preferences, and goals.
Choice B reason: Analysis/Diagnosis is the second phase of the nursing process, where the nurse interprets the data and identifies the patient's problems, risks, and strengths.
Choice C reason: Planning is the third phase of the nursing process, where the nurse develops a care plan that specifies the expected outcomes, interventions, and priorities for the patient.
Choice D reason: Implementation is the fourth phase of the nursing process, where the nurse executes the care plan and performs the interventions for the patient.
Choice E reason: Evaluation is the fifth and final phase of the nursing process, where the nurse measures the effectiveness of the interventions and compares the actual outcomes with the expected outcomes. Asking the patient about their pain level after giving pain medication is an example of evaluation.
Correct Answer is B
Explanation
Choice A reason: Hypernatremia is a condition of high sodium levels in the blood. It can cause symptoms such as thirst, dry mouth, confusion, agitation, and seizures. It is not likely to cause postural hypotension, which is a drop in blood pressure when changing positions.
Choice B reason: Hyponatremia is a condition of low sodium levels in the blood. It can cause symptoms such as headache, nausea, vomiting, muscle weakness, fatigue, and confusion. It can also cause postural hypotension, as sodium helps regulate fluid balance and blood pressure.
Choice C reason: Hyperkalemia is a condition of high potassium levels in the blood. It can cause symptoms such as muscle weakness, paralysis, irregular heartbeat, and cardiac arrest. It is not likely to cause postural hypotension, which is more related to fluid and sodium levels.
Choice D reason: Hypokalemia is a condition of low potassium levels in the blood. It can cause symptoms such as muscle cramps, weakness, fatigue, constipation, and arrhythmias. It is not likely to cause postural hypotension, which is more related to fluid and sodium levels.
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