A nurse reviews a patient's care plan and finds a goal for the patient to ambulate at least three times a day. The nurse assists the patient to accomplish this goal. The nurse is participating in which step of the nursing process?

a. Planning
b. Evaluation
c. Data collection
d. Implementation


ANS: D
The nursing process consists of collecting data (assessment), nursing diagnosis (which is the RN's responsibility), planning, implementation, and evaluating nursing care. Implementation is the provision of required nursing care to accomplish established patient goals.

Nursing

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The nurse explains that with the completion of myelination, the toddler will have the neuromuscular maturity to attain _______________ or _______________ control

ANS:

Nursing

A nurse is to give a client with a severe allergic reaction 80 mg of diphenhydramine (Bena-dryl) by IV push. The vial contains 10 mL of diphenhydramine solution with a concentration of 25 mg/mL

Exactly how many milliliters of diphenhydramine is the correct dose to give this client?

Nursing

The nurse has instructed the client in the correct technique for breast self-examination (BSE). For a portion of the examination, the client will lie down

If the client were to examine the right breast, the nurse would tell the client to place a pillow: 1. Under the left scapula 2. Under the left shoulder 3. Under the right shoulder 4. Under the small of the back

Nursing

A loading dose of magnesium sulfate 4g is ordered for a patient. The concentration available is 4g/250 mL to be given over 30 minutes. How many mL/hr should the nurse set the patient's infusion pump to deliver the medication?

What will be an ideal response?

Nursing