A patient admitted with right leg thrombophlebitis is to be discharged from an acute-care facility. Following treatment with a heparin infusion, the nurse notes that the patient's leg is pain-free, without redness or edema
Which step of the nursing process does this reflect?
A) Diagnosis
B) Analysis
C) Implementation
D) Evaluation
Ans: D
Feedback:
The nursing actions described constitute evaluation of the expected outcomes. The findings show that the expected outcomes have been achieved. Analysis consists of considering assessment information to derive the appropriate nursing diagnosis. Implementation is the phase of the nursing process where the nurse puts the care plan into action. This nurse's actions do not constitute diagnosis.
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Several non-nursing theories and models of health and wellness are used by nurses, such as: Standard Text: Select all that apply
1. Body Systems Model. 2. Maslow's Hierarchy of Needs. 3. Developmental theories. 4. Environmental Model. 5. Wellness Model.
A child is taking azathioprine (Imuran) for moderate Crohn's disease. Which assessment finding best indicates that an important goal related to this medication has been met?
A. The child has not developed seasonal illnesses. B. Edema and fluid retention have been eliminated. C. Stools are more solid and passed less often. D. Weight gain has been consistent at each visit.
Which of these concepts used in current nursing practice was introduced by Nightingale?
a. encouraging involvement of family and friends in a client's care b. maintaining confidentiality c. organizing a methodical system of nursing administration d. organizing a system of differentiated nursing practice
To prevent systemic absorption of timolol (Timoptic), what administration instructions are appropriate for the nurse to include in teaching?
1. Apply pressure over the lacrimal sac for 1 minute. 2. Wait 5 minutes before administering other ophthalmic solutions. 3. Administer the eyedrop in the conjunctival sac. 4. Remove contact lenses prior to administering eyedrops.