The nurse has been monitoring the patient's
progress on a new drug regimen since the first dose and documenting the patient's therapeutic response to the medication. Which phase of the nurs-ing process do these actions illustrate?
a. Nursing diagnosis
b. Planning
c. Implementation
d. Evaluation
ANS: D
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The nurse is caring for a dying client who becomes very agitated. What is the nurse's best response?
a. Use music therapy to promote relaxation. b. Increase the dose of intravenous opioids. c. Provide a second antipsychotic medica-tion. d. Assess the client for urinary retention.
How many 100-gram tablets are needed to make 1 liter of a 25% solution?
1. 2.5 tablets 2. 40 3. 4 tablets 4. 25 tablets
A child has returned to the postsurgical floor after having had a tonsillectomy. Which assessment finding should the nurse report to the physician?
a. Vomiting bright red blood b. Pain at the surgical site c. Pain on swallowing d. The ability to only take small sips of liquids
During administration of eye drops, the nurse should teach the client to prevent systemic absorption of the drug by performing which action?
a. Use the ointment form of the drug. b. Apply the drug directly on the cornea. c. Have the client look straight ahead. d. Gently press on the lacrimal duct.