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A series of multiple-choice questions focused on the nursing process, covering key aspects like assessment, diagnosis, planning, implementation, and evaluation. Each question includes a detailed rationale explaining the correct answer, enhancing understanding and critical thinking skills. it's a valuable resource for nursing students preparing for exams, reinforcing their knowledge of the nursing process and its practical application in patient care. The questions cover various aspects of data collection, analysis, and decision-making within the nursing process framework.
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interpretations of the data is not data collection. Data
behavior, and measuring blood pressure are examples of objective data. States “doesn’t feel good,” reports a headache, and nausea are all subjective data. Subjective data include the client’s feelings, perceptions, and reported symptoms. Only clients provide subjective data relevant to their health condition.
assessments you make during rounding or administering care. A nursing database includes a physical examination. The caregiver reviews the current literature in the implementation phase of the nursing process to determine evidence-based actions, and the health care provider is responsible for ordering medications. The caregiver uses results from the diagnostic and laboratory tests to establish a client database, not checking orders for tests.
client to elaborate on the daytime fatigue or ask about the contributing reasons. 11.A caregiver is conducting a nursing health history. Which component will the caregiver address? a. Caregiver’s concerns b. Client expectations c. Current treatment orders d. Caregiver’s goals for the client CORRECT ANS:->>>: B Some components of a nursing health history include chief concern, client expectations, spiritual health, and review of systems. Current treatment orders are located under the Orders section in the client’s chart and are not a part of the nursing health history. Client concerns, not caregiver’s concerns, are included in the database. Goals that are mutually established, not caregiver’s goals, are part of the nursing care plan.
next shift.
The caregiver should further assess and ask the client to describe the type of reaction. The client will not need to be placed in isolation; before terminating the interview or documenting the allergy, health care personnel need to be aware of what type of response the client suffered.
Distractions should be eliminated as much as possible when interviewing a client with a hearing deficit. The best place to conduct this interview is in the client’s room with the door closed. The waiting area does not provide privacy. Pain can sometimes inhibit someone’s ability to concentrate, so before pain medication is administered is not advisable. It is best for the client to be as comfortable as possible when conducting an interview. Assessing a client while another member of the health care team is working would be distracting and is not the best time for an interview to take place.
Set 2
the provided information.
c. Abdominal distention d. Constipation CORRECT ANS:->>>: C Abdominal distention, no reported bowel movement, and abdominal pain are the defining characteristics. Decreased gastrointestinal motility secondary to pain medication is an etiology or related to factor. Constipation (problem or NANDA-1 diagnosis) is the identified problem derived from the defining characteristics.
b. Reports pain as a 7 on a 0 to 10 scale c. Disruption of tissue integrity d. Dull headache CORRECT ANS:->>>: C Disruption of tissue integrity is a possible cause or etiology of pain. A report of pain, headache, and discomfort are examples of things a client might say (subjective data or defining characteristics) that may lead a caregiver to select Acute pain as a nursing diagnosis.