A nurse is modifying a patient's care plan after evaluation of patient care. In which order, starting with the first step, will the nurse perform the tasks?

Question

1. Revise nursing diagnosis.
2. Reassess blood pressure reading.
3. Retake blood pressure after medication.
4. Administer new blood pressure medication.
5. Change goal to blood pressure less than 140/90.
a. 1, 5, 2, 4, 3
b. 2, 1, 5, 4, 3
c. 4, 3, 1, 5, 2
d. 5, 4, 5, 1, 2

Answer 1

ANS: B
If a nursing diagnosis is unresolved or if you determine that a new problem has perhaps developed, reassessment is necessary. A complete reassessment of patient factors relating to an existing nursing diagnosis and etiology is necessary when modifying a plan. After reassessment, determine which nursing diagnoses are accurate for the situation; revise as needed. When revising a care plan, review the goals and expected outcomes for necessary changes after the diagnosis. Then evaluate and revise interventions as needed.