In addition to the nurse, what other key people are involved in the evaluation phase of the nursing process?
a. nurse managers
b. patient and his family
c. patient and her physician
d. all health care professionals involved with the patient's care
B
During the evaluation phase, the nurse, in conjunction with the patient and the family, evaluates the status of the plan of care.
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The nurse is preparing to implement a new postural drainage order for an older patient with copious secretions caused by community-acquired pneumonia. What action will the nurse take when implementing this order?
A) Teach the patient to expect some dyspnea and distress during postural drainage B) Ask the physician to reconsider the order for postural drainage due to the patient's age C) Perform postural drainage allowing adequate periods of rest between position changes D) Suggest the physician to consider the use of bronchodilators rather than postural drainage
At 1 minute after birth, the nurse assesses the newborn to assign an Apgar score. The apical heart rate is 110 bpm, and the infant is crying vigorously with the limbs flexed. The infant's trunk is pink, but the hands and feet are blue
The Apgar score for this infant is: a. 7. b. 8. c. 9. d. 10.
A multiple trauma patient with a head injury is admitted. The nurse places the patient's neck in a neutral alignment position to
A) prevent impaired electrical impulses from going to the brain. B) maintain intact neurological reflexes. C) promote venous drainage from the head. D) prevent further spinal cord injury or trauma.
A newborn is suspected of having cystic fibrosis. As the child is being prepared for transfer to a pediatric hospital,the mother asks the nurse what symptoms made the physician suspect cystic fibrosis
The nurse would reply that the clinical manifestation of cystic fibrosis that is seen first is 1. steatorrheic stools. 2. constipation. 3. meconium ileus. 4. rectal prolapse.