Terms in this set (20)A nurse has completed data analysis. Which of the following would the nurse identify first as the result? Nursing diagnosis Explanation: A nursing instructor is describing why data analysis is considered a very difficult step in the nursing process. Which of the following would the instructor identify? It requires diagnostic reasoning skills. Explanation: Which of the following would be most important for a nurse when developing critical thinking skills? Maintenance of an open mind Explanation: The nurse has completed an assessment on a new client. After gathering the data, formulating a nursing diagnosis, and developing a plan of care, it is important for the nurse, before finalizing the plan, to discuss the plan with the client Explanation: OLD CART is a mnemonic that will help the nurse remember the steps in the nursing process. False. Explanation: The nurse collects data from a client with a nonproductive cough and labored respirations at a rate of 24/minute. What other data should the nurse collect before formulating an appropriate nursing diagnosis? status of breath sounds Explanation: The nursing student demonstrates a need for further teaching when she states which of the following? Patients do not need to understand their problems. Explanation: The nursing student understands that data analysis is referred to as the diagnostic phase because the end result is the identification of which of the following? nursing diagnosis Explanation: The nurse recognizes that the second step or phase of the nursing process is difficult. Why is data analysis a difficult step? Diagnostic reasoning skills are required to interpret data accurately. Explanation: A client has been diagnosed with diabetes mellitus, and the nurse knows that the client requires education on the dietary restrictions. What would be an appropriate intervention by the nurse? Make a referral to the dietician. Explanation: A client who is 2 days postoperative reports pain and requests pain medication. After assessing the client's pain level, the nurse decides to give the client oral oxycodone hydrochloride-acetaminophen instead of intravenous morphine. This nurse is doing which step of the nursing process? implementation Explanation: A client presents to the clinic with reports of an itchy rash all over the body. The nurse observes lesions on the client's arms and legs as well as the presence of a dry, hacky cough and sneezing. Which data collected from the client can be classified as a subjective abnormal finding? Itchy feeling Explanation: The nurse is working with a 14-year-old girl who has told the nurse that she would like to try getting to bed a little sooner to get a full night's sleep and have more energy at school. The nurse diagnoses her with the following: Readiness for enhanced sleep related to client's expressed desire to go to bed earlier. Which type of nursing diagnosis is this? Wellness Explanation: During the assessment interview, the client made numerous statements that suggested his life generally exists in a state of harmony and balance. The nurse would document this as which type of nursing diagnosis? Health promotion diagnosis Explanation:
The nurse is attempting to cluster the data collected during the initial assessment of an older adult client. The nurse notes that the client had a swollen left knee and complained of "a bit of soreness" in the joint, but the nurse does not have enough data to support a nursing diagnosis of Impaired Physical Mobility. What should the nurse do next? Assess the client further for evidence of reduced mobility and decreased range of motion. Explanation: The nurse enters an unassigned client's room to investigate an alarm. The client's intravenous (IV) bag is empty and the IV bag on the pole, left by the client's assigned nurse to hang next, is a different solution. What is the nurse's best action? Review the client's prescribed medication orders. Explanation: A client is admitted for observation after complaining of chest pain. A 12-lead electrocardiogram (ECG) reveals a normal sinus rhythm. The staff nurse questions the charge about whether the client can be observed or should be sent home because the ECG is normal. What is the charge nurse's best response? "It's acceptable for a client to be admitted for observation." Explanation: When documenting clinical data after an assessment of the client's neck, what might you write in the physical assessment? Thyroid isthmus barely palpable, lobes not felt Explanation: For each client problem identified the nurse develops and records a plan. What must the plan do? (Select all that apply.) - Flow logically from identified diagnoses Explanation: The nurse notes the diagnosis "Readiness for enhanced coping" written on a client's care plan. What type of diagnosis has been identified for the client? Wellness Explanation: Sets found in the same folderNUR 3065 PREPU Neurovascular Assessment 6 P's7 terms summerangelinasmith NUR 3065 - Prep U Chapter 120 terms summerangelinasmith NUR 3065 - Prep U Chapter 320 terms summerangelinasmith NUR 3065 - PrepU Chapter 420 terms summerangelinasmith Other sets by this creatorExam 250 terms summerangelinasmith Pharm Final Exam165 terms summerangelinasmith Quiz 338 terms summerangelinasmith Dosage Calculation RN Fundamentals Online Practice…50 terms summerangelinasmith Recommended textbook solutionsThe Human Body in Health and Disease7th EditionGary A. Thibodeau, Kevin T. Patton 1,505 solutions
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Integrated Electronic Health Records4th EditionAmy Ensign, M Beth Shanholtzer 485 solutions Other Quizlet setschap 11 Cheese Presentation - final14 terms tiltonlipoma Signal and other failures16 terms alex_bbrookie Evidence Bar Review19 terms Brent_Bihr What are the steps for analyzing data in nursing?For example, the data that is collected during the assessment phase of the Nursing Process is used for the nursing diagnosis and the planning of client care.. Assessment.. Data Collection.. Data Organization and Analysis.. Nursing Diagnosis.. Planning.. Implementation.. Evaluation.. What are the 4 stages of the nursing process?The common thread uniting different types of nurses who work in varied areas is the nursing process—the essential core of practice for the registered nurse to deliver holistic, patient-focused care. Assessment. ... . Diagnosis. ... . Outcomes / Planning. ... . Implementation. ... . Evaluation.. In which stage of the nursing process does the nurse use client data to judge if the identified goal was met?The final phase of the nursing process is the evaluation phase. It takes place following the interventions to see if the goals have been met. During the evaluation phase, the nurse will determine how to measure the success of the goals and interventions.
During what stage of the nursing process does data collection occur?Nurses collect data during the assessment phase by communicating with the patient, spouse, and caregivers, reading patient records, nursing observation, and collecting measurable data such as vital signs.
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