Foundations in Nursing - Chapter 13: Blended Competencies, C

When the nurse is administering furosemide 20 mg to a client in congestive heart failure, what phase of the nursing process does this represent?

• assessment

• planning

• implementation

• evaluation

The correct progression of steps of the nursing process is:

• assessment, diagnosis, planning, implementation, and evaluation.

• planning, assessment, diagnosis, evaluation, and implementation.

• diagnosis, implementation, assessment, evaluation, and planning.

• implementation, planning, evaluation, assessment, and diagnosis.

A client comes to the emergency department reporting severe chest pain. The nurse asks the client questions and takes vital signs. Which step of the nursing process is the nurse demonstrating?

• Assessing

• Diagnosing

• Planning

• Implementing

An adolescent with diabetes has a nursing diagnosis of noncompliance related to activities that interfere with the treatment plan as evidenced by elevated blood glucose levels. The outcome for this client is to maintain blood glucose levels between 70 and 110 mg/dL (3.89 and 6.11 mmol/L). The main intervention is to educate the client about the effects of abnormal blood glucose level on the body and ensure that the client has the resources to be compliant. Evaluation reveals that the client's blood glucose level remains elevated and that the outcome has not been met. What is the most appropriate action by the nurse?

• Modify the plan of care to find alternative ways to meet client needs.

• Reevaluate the plan of care at a later date.

• Refer the client to the social worker.

• Terminate the plan of care because the client will not listen to health care providers.

Which group of terms best describes the nursing process?

• Nursing goals, medical terminology, linear

• Nurse-centered, single focus, blended skil

• Patient-centered, systematic, outcome-oriented

• Family-centered, single point in time, intuitive

Which statement indicates that a plan to assist a client in developing and following an exercise program has been effective?

• "I have just been too busy to do my daily exercises."

• "I guess I will begin the activity we discussed next week."

• "I know I should exercise, but my health is not very good."

• "I have lost 10 pounds (4.5 kg) because I walk 2 miles (3.2 km) every day."

A nurse is concerned about the requirements needed to complete all of her courses successfully. Which of the following factors would assist her to be successful?

• Begin studying the night before the test

• Refine writing skills

• Implement time-management skills

• Read the text following the class

A nurse takes the vital signs of a new hospital client admitted for severe abdominal pain. Which step of the nursing process is this nurse performing?

• Assessment

• Diagnosis

• Implementation

• Evaluation

An older adult client is being admitted to the hospital for treatment of a fractured hip. Which part of the nursing process would the nurse carry out first ?

• Assessment

• Evaluation

• Nursing diagnosis

• Outcome planning

The nurse is caring for a client who is postoperative and has pain that is an 8 on a scale of 0 to 10. There is an order for intravenous pain medication every 4 hours as needed. The nurse administers the prescribed pain medication to the client. What should the nurse do to assist in meeting this client’s desired outcome of a pain scale score less than 4 on a scale of 0 to 10?

• Call the surgeon to report the pain level.

• Continue making rounds on other clients and let the client rest.

• Evaluate the client’s pain level after the appropriate amount of time has elapsed for the pain medication to take effect.

• Modify the plan of care to include an additional pain medication because the client’s pain is so severe.