While caring for a newly admitted patient, a registered nurse (RN) gathers information by interviewing the patient to obtain a health history and reviewing the results of laboratory and diagnostic tests
This step in the nursing process is called
1. Planning.
2. Evaluation.
3. Assessment.
4. Implementation.
ANS: 3
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The staff educator is presenting a workshop on valvular disorders. When discussing the pathophysiology of aortic regurgitation, the educator emphasizes that aortic regurgitation causes what?
A) Cardiac tamponade B) Left ventricular hypertrophy C) Right-sided heart failure D) Ventricular insufficiency
Which of the following nursing assessments would detect the earliest sign of deterioration in the patient with a hemorrhagic stroke?
A) Hypotension B) Agitation C) Slight slurring of speech D) Difficulty sleeping
The unit is extremely busy when the physician orders that a urinary catheter be inserted in a patient. The patient's assigned nurse is new, has seen the procedure done, but has never done it independently
How should the charge nurse handle this situation? 1. The charge nurse should do the procedure to save time. 2. The charge nurse should ask the new nurse to try the procedure alone. 3. The charge nurse should assign the task to a different nurse. 4. The charge nurse should assist the new nurse with the procedure.
A new mother is concerned that her 6 week old baby is gaining too much weight because in the hospital the baby weighed 4 kg at birth but at home the baby now weighs 11 lbs
What should the nurse explain as the weight difference between the birth weight and current weight of the infant? 1. The baby has lost 3 lbs. in 6 weeks 2. The baby has lost 2.2 lbs. in 6 weeks 3. The baby has gained 7 lbs. in 6 weeks 4. The baby has gained 2.2 lbs. in 6 weeks