Which of the following are examples of evaluative measures that a nurse should utilize when determining the patient's response to nursing care? (Select all that apply.)
a. Observations of wound healing
b. Assessment of respiratory rate and depth
c. Blood pressure measurement
d. Implementation of nursing interventions
e. Patient's subjective report of feelings about a new diagnosis of cancer
ANS: A, B, C, E
Evaluative measures require the nurse to use assessment skills and techniques to determine the patient's response to nursing care. Examples of evaluative measures include assessment of wound healing and respiratory status, blood pressure measurement, and assessment of patient feelings. Determining whether nursing interventions were used is not an evaluative measure.
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