Which of the following is not included in the assessment step of the nursing process?
a. data collection c. data documentation
b. data verification d. data evaluation
D
Elements of the assessment process include data collection, data verification, data organization, data interpretation, and data documentation. Data evaluation is not included in the assessment process.
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A patient's current drug regimen includes intranasal administration of desmopressin acetate (DDAVP, Stimate). In this patient's plan of nursing care, what is the most likely desired outcome of treatment?
A) The patient's urine output will not exceed 80 mL/h. B) The patient will gain 2 cm in height over the next 6 months. C) The patient will ovulate at least once over the next 8 weeks. D) The patient's vertical growth will cease in the next 4 weeks.
A nurse is working in the area of labor and birth. Her assignment is to take care of a gravida 1 para 0 who presents in early labor at term. Vaginal exam reflects the following: 2 cm, cervix posterior, -1 station, and vertex with membranes intact
The client asks the nurse "if she can break her water so that her labor can go faster?" The nurse's response, based on the ethical principle of nonmaleficence, is which of the following? a. Tell the client that she will have to wait until she has progressed further on the vaginal exam and then she will perform an amniotomy. b. Have the client write down her request and then call the physician for an order to implement the amniotomy. c. Instruct the client that only a physician or certified midwife can perform this procedure. d. Give the client an enema to stimulate labor.
The client receives three different medications through a nasogastric tube (NGT). Which fluid volume does the nurse anticipate instilling to administer medications by NGT properly?
1. 30 ml 2. 60 ml 3. 120 ml 4. 150 ml
Which of the following is the single most negative factor affecting a nurse's credibility?
1. Deficient technical skills 2. Unethical or illegal behavior 3. Lack of caring and empathy 4. Poor nurse-client communication