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 C
Explanation
Choice A rationale:
Decreased splanchnic blood flow can affect drug absorption and metabolism, but it does not directly increase the risk of gastric irritation from NSAIDs.
Choice B rationale:
Prolonged secretion of gastric acid can contribute to conditions like gastroesophageal reflux disease (GERD), but it is not the primary factor increasing the risk of gastric irritation from NSAIDs in older adults.
Choice C rationale:
Delayed gastric emptying is the correct answer. It allows drugs to stay in contact with the stomach lining for a longer time, which can increase the risk of gastric irritation from NSAIDs.
Choice D rationale:
Loss of cells from the gastric plexus can affect gastric function, but it is not directly linked to an increased risk of gastric irritation from NSAIDs.
Correct Answer is ["A"]
Explanation
Choice A rationale:
Checking the patient’s identification band is a standard procedure to ensure the right patient is receiving the medication.
Choice B rationale:
Asking another nurse to identify the patient is not a reliable method and could lead to errors.
Choice C rationale:
Checking the name on the foot of the bed is not a reliable method as it could be incorrect.
Choice D rationale:
Asking the roommate to verify the patient’s name is not a reliable or confidential method.
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