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Which task is included in the assessment step of the nursing process?.

A.

Measuring goal/outcome achievement.

B.

Collecting and communicating data.

C.

Establishing patient goals/outcomes.

D.

Implementing the nursing care plan (NCP).

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Measuring goal/outcome achievement is part of the evaluation step of the nursing process, not the assessment step.

Choice B rationale:

Collecting and communicating data is indeed part of the assessment step of the nursing process. This step involves gathering information about the patient’s health.

Choice C rationale:

Establishing patient goals/outcomes is part of the planning step, not the assessment step.

Choice D rationale:

Implementing the nursing care plan (NCP) is part of the implementation step, not the assessment step.


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Related Questions

Correct Answer is A

Explanation

Choice A rationale:

This statement is measurable because it provides a specific timeframe (2 weeks after initial training) for the patient to be able to self-administer insulin injections.

Choice B rationale:

This statement is about the nurse’s actions, not a goal for the patient.

Choice C rationale:

While understanding how insulin works in the body is important, this statement is not measurable.

Choice D rationale:

Understanding a diabetic diet is important for a patient taking insulin, but this statement does not provide a measurable goal.

Correct Answer is D

Explanation

Choice A rationale:
An allergic reaction refers to an immune response to a foreign substance. It does not describe the interaction between an antacid and ketoconazole.
Choice B rationale:
Displacement refers to one drug replacing another at the drug-binding site on proteins, altering the distribution of the displaced drug. It does not describe the interaction between an antacid and ketoconazole.
Choice C rationale:
Accumulation refers to the buildup of a drug in the body due to inadequate metabolism or excretion. It does not describe the interaction between an antacid and ketoconazole.
Choice D rationale:
A drug interaction occurs when the effect of one drug is altered by the administration of another drug. Antacids can slow the dissolution and absorption of ketoconazole, which is a type of drug interaction.

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