Which task is included in the assessment step of the nursing process?.
Measuring goal/outcome achievement.
Collecting and communicating data.
Establishing patient goals/outcomes.
Implementing the nursing care plan (NCP).
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Women experience more problems than men when taking aspirin due to Gastric acidity. Aspirin can cause gastric irritation, and women have been found to have higher gastric acidity than men.
Choice B rationale:
Levels of hepatic enzyme do not specifically cause women to have more problems with aspirin than men. These enzymes are involved in drug metabolism, but their levels do not differ significantly between genders.
Choice C rationale:
Amounts of alcohol dehydrogenase do not cause more problems for women when taking aspirin. This enzyme is involved in alcohol metabolism, not aspirin.
Choice D rationale:
Decreased gastric emptying can increase the risk of gastric irritation from nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin in older adults, but it’s not a gender-specific factor.
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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