A nurse is interpreting and making inferences from the data. The nurse is involved in which phase of the nursing process?
A) Evaluation
B) Implementation
C) Planning
D) Analysis.
D
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The nurse is preparing to assess an older patient's ears. Which techniques should the nurse consider when conducting this assessment?
Select all that apply. 1. whisper test 2. Rinne test 3. Weber test 4. electronystagmography (ENG) 5. audiometer
What problem is most important to assess for in a patient who is prescribed loperamide (Imodium)?
a. Tachycardia b. Abdominal distention c. Peripheral edema d. Respiratory crackles
Max says, "Nurse, see that man on the television? He is the reason why I am sick. He told them to make me this way." The nurse documents this as an episode of a(n):
A) Hallucination B) Delusion C) Illusion D) Autistic thought
The nurse completes a family assessment on George and Mary Lykins and determines the family is in the developmental stage of aging family. Nursing interventions that will be appropriate for the Lykins include
A) counseling that will rebuild the couple's marital relationship. B) teaching regarding how to deal with the empty nest syndrome. C) providing information on options in the community for alternative living options. D) consultation that assists the couple to balance freedom and responsibility of adult children.