The significance of developing organized plans of care for patients cannot be stressed enough. In the planning phase, the nurse must take seriously the responsibility of: (Select all that apply.)
a. prioritizing patient needs.
b. developing mutually agreed-on goals.
c. determining outcome criteria. d.
identifying interventions.
e. implementation of the patient's plan of care.
ANS: A, B, C, D
The significance of developing organized plans of care for patients cannot be stressed enough. The nurse must take seriously the responsibility of prioritizing patient needs, developing mutually agreed-on goals, determining outcome criteria, and identifying interventions that can help patients to achieve positive outcomes. After these actions are completed in the planning phase of the nursing process, it is time for implementation of the patient's plan of care (Implementation phase).
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Regarding the estimation and interpretation of the recurrence of risks for genetic disorders, nurses should be aware that:
a. With a dominant disorder, the likelihood of the second child also having the condition is 100%. b. An autosomal recessive disease carries a one in eight risk of the second child also having the disorder. c. Disorders involving maternal ingestion of drugs carry a one in four chance of being repeated in the second child. d. The risk factor remains the same no matter how many affected children are already in the family.
The health care provider has prescribed the client to receive 250 mL fluid over two hours. At what rate will the nurse set the electronic infusion device?
a. 12.5mL/hr c. 50 gtt/min b. 125 gtt/min d. 125 mL/hr
Which statement is the best example of nursing outcomes for a cardiac patient who has been
experiencing angina that are consistent with nursing reflective reasoning? A) The patient follows the medical protocol prescribed by the physician. B) The patient has reduced stress levels successfully. C) The patient maintains blood pressure and pulse within normal limits. D) The patient does not experience chest pain.
The patient with blood type A, Rh-negative, delivered yesterday. Her infant is blood type AB, Rh-positive. Which statement indicates that teaching has been effective?
1. "I need to get RhoGAM so I don't have problems with my next pregnancy." 2. "Because my baby is Rh-positive, I don't need RhoGAM." 3. "If my baby had the same blood type I do, it might cause complications." 4. "Before my next pregnancy, I will need to have a RhoGAM shot."