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- 3. The first step before performing bed bath to a bedridden client is: a. Prepare the equipment b. Validate the plan of care c. Assess the client d. Check the medical diagnosis 4. Which type of evaluation occurs continuously throughout the teaching and learning process? a. Summative b. Informative c. Retrospective d. Formative 5. When making decision about the effectiveness of a nursing intervention, the nurse: a. Search information in social media b. Uses evidence-based nursing practice c. Tests and compares its effect to groups of clients d. Consults senior nurse or faculty for advice 6. Which of the following intervention healthy psychosocial response? a. Making referrals to the physician. b. Staying with an anxious client. c. Advising client the best action to do. d. Administration of medication.7. The nurse has completed an initial assessment of a newly admitted client and is applying the nursing process to plan the client's care. What principle should the nurse apply when using the nursing process? A. Each step is independent of the others. B. It is ongoing and continuous. C. It is used primarily in acute care settings D. It involves independent nursing actions Kindly elaborate why it is the answer and why the other options are not correct. THANK YOU ASAP3. The nurse has completed an initial assessment of a newly admitted client and is applying the nursing process to plan the client's care. What principle should the nurse apply when using the nursing process? A. Each step is independent of the others. B. It is ongoing and continuous. C. It is used primarily in acute care settings D. It involves independent nursing actions Why it is the answer and why the other options are not the answer
- 7. As the nurse caring for a patient you have completed the collection of the subjective data. On what do you base your decision to do an entire head-to-toe physical assessment or a systems-specific assessment? The patient's answers b. Observable signs and symptoms Your knowledge base and expertise d. The patient's chief complaint ANSWER: a. C. RATIONALE: 8. For each patient problem you identify you develop and record a plan. What must your plan do? (Mark all that apply.) a. Begin discharge planning b. Include referral to dietician Flow logically from identified diagnoses d. Specify which steps are needed next e. Identify timing of family involvement ANSWER: с. RATIONALE: 9. Your patient tells you that his chief complaint is "fatigue." When obtaining the patient history, what additional information might you want to elicit to try and pinpoint the patient's "real problem"? More information regarding family history More information regarding secondary complaints More information…1. A systematic phase of the nursing process, that involves decision making and problem solving. a. Assessing b. Diagnosing c. Implementing d. Planning 2. Which is true about nursing intervention? a. Action that aims to help patient achieve health outcomes b. Must always include medicationc. Can only performed with a doctor's orderd. Is part of the planning phase 3. Which of the following intervention statement is written precisely and correctly: a. Handwashing.b. Teach about the proper use of face mask. c. Needs attended.d. Deep breathing exercises.24. The nurse decided to implement her planned Intervention, which of the following steps she should consider first before implementing? a. Carrying out nursing intervention Determine the need for assistance b. c. Document the intervention d. Reassessing the client need 25. A client was admitted to the ward for surgery, which of the following types of planning is used at the admission time? a. Initial b. Ongoing c. Discharge d. Strategic 26. A nurse identified that her client has severe dehydration and lost 5 Kg of her body weight. She selected severe dehydration as the client's priority problem. The factor that the nurse considered in prioritizing is: a. Client's values and beliefs b. Resources available c. Urgency of problem d. Client's priority 27. A nurse identified client's nursing diagnosis is risk for adult falls related to blindness. The nurse's nursing interventions should focus on a. Measures to prevent falls b. Actions to solve blindness c. Measures to reduce blindness d.…
- 3. The nurse has completed an initial assessment of a newly admitted client and is applying the nursing process to plan the client's care. What principle should the nurse apply when using the nursing process? A. Each step is independent of the others. B. It is ongoing and continuous. C. It is used primarily in acute care settings D. It involves independent nursing actions Elaborate each answer2. The care plan calls for administration of a medication plus client education on diet and exercise for high blood pressure. The nurse finds the blood pressure extremely elevated. The client is very distressed with this finding. Which nursing skill of implementing would be needed most? a. Intellectual b. Cognitive c. Psychomotor d. Interpersonal 3. The first step before performing bed bath to a bedridden client is: a. Prepare the equipment b. Validate the plan of care c. Assess the client d. Check the medical diagnosis 4. Which type of evaluation occurs continuously throughout the teaching and learning process? a. Summative b. Informative c. Retrospective d. Formative 5. When making decision about the effectiveness of a nursing intervention, the nurse: a. Search information in social media b. Uses evidence-based nursing practice c. Tests and compares its effect to groups of clients d. Consults senior nurse or faculty for advice 6. Which of the following intervention healthy…4. Nurse Katee is caring for Adam, a 10-year-old client, in a long-term facility. Which nursing intervention would be appropriate when identifying nursing interventions aimed at promoting and preventing contractures? Select all that apply. •A. Clustering activities to allow uninterrupted periods of rest. B. Maintaining correct body alignment at all times. C. Monitoring intake and output, using a urometer if necessary. D. Using a footboard or pillows to keep feet in the correct position. E. Performing active and passive range-of-motion exercises.
- 1. Which of the following statements best describe how a nurse demonstrates caring towards self? A. Watch a movie after a long night working hours.B. Shows willingness to go for overtime every day.C. Reports to work very late.D. Sharing the work experience with friends. 2. Which of the following statements best describe a Caring role as a nurse? A. Nurse Mae greets her patient before giving the medication.B. Nurse Mae left the patient unattended.C. Nurse Mae talks to the patient while writing.D. Nurse Mae left a note of instructions for the family of the patient.0.The nurse is caring for a patient who had a right foot amputation. Which of the following actions is essential for the nurse to include in the plan of care?A. Allow adequate time for the patient to work through their grief.B. Invite the assistance of other patients with similar experiences.C. Encourage immediate independence in self-care.D. Provide information to the patient on how to contact community resources.7. A nurse is interpreting and validating information from an older adult client who has been experiencing a functional decline. The nurse is in which phase of the interview? A. Introductory B. Working C. Summary D. Closing KINDLY EXPLAIN EACH ANSWER. WHY IT IS THE CORRECT ANSWER AND WHY IT IS NOT THE CORRECT ANSWER