Prior to the administration of a nephrotoxic drug, the nurse determines that the kidney lab data are within normal range. Which step of the nursing process is being used?
a. Assessment
b. Nursing diagnosis
c. Planning
d. Evaluation
ANS: A
The nurse is collecting information about renal function through lab data; this is baseline assessment data. This action is not an example of the development of a nursing diagnosis. Planning is developing goal statements and prioritizing patient problems. Evaluation determines if goals have been met.
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The nurse knows that depression is the primary abnormal mood state for patients who are diagnosed with bipolar disorder. What other mood state might the nurse recognize in the patient with bipolar disorder?
1. Hypomania 2. Hypersexuality 3. Inappropriate intimacy 4. Exaggerated sense of importance
Mr. Larson is a 42-year-old widowed father of two children, ages 4 and 11. He works in a sales office to support his family. Recently he has injured his back and you are thinking he would benefit from physical therapy, three times a week, for an hour per session. What would be your next step?
A) Write the physical therapy prescription. B) Have your office staff explain directions to the physical therapy center. C) Discuss the plan with Mr. Larson. D) Tell Mr. Larson that he will be going to physical therapy three times a week.
The nurse is opening sterile packages without touching the contents. When the nurse drops items onto the sterile field, how many inches from the edge does the nurse have to avoid dropping items?
A) 1 inch B) 2 inches C) 3 inches D) 4 inches
During a health history the nurse is concerned that a client is at risk for developing secondary Parkinson disease because of which information?
Standard Text: Select all that apply. 1. The client has a history of concussions. 2. The client was treated for meningitis while in college. 3. The client worked as a crop duster after the war. 4. The client waited tables at a local restaurant. 5. The client scuba dives during vacations.