Which phase of the five-step nursing process is the diagnosis?.
Fourth.
Third.
Second.
First.
The Correct Answer is C
Choice A rationale:
The fourth phase of the nursing process is planning.
Choice B rationale:
The third phase of the nursing process is diagnosis.
Choice C rationale:
The second phase of the nursing process is diagnosis.
Choice D rationale:
The first phase of the nursing process is assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
The patient reporting a sore throat after taking his regular medications is subjective information because it is based on the patient’s personal experience and feelings.
Choice B rationale:
The patient’s daughter stating her father often forgets to take his medication is also subjective information as it is based on the daughter’s observations and perceptions.
Choice C rationale:
The patient stating he feels dizzy whenever he takes his medication is subjective information because it is based on the patient’s personal experience and feelings.
Choice D rationale:
The patient stating that his temperature has been 88.8F is objective information because it is a measurable fact.
Correct Answer is C
Explanation
Choice A rationale:
Giving the medication as ordered despite the patient’s stated allergy could lead to a severe allergic reaction.
Choice B rationale:
While checking the drug insert for information on reactions to the drug is important, the immediate action should be to withhold the medication.
Choice C rationale:
Withholding the medication and notifying the prescriber of the situation is the safest course of action when a patient states they are allergic to the medication.
Choice D rationale:
Giving the medication and monitoring the patient for adverse effects is not safe if the patient has stated they are allergic to the medication.
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