The client tells the nurse she has been smoking one pack of cigarettes a day for the past 20 years. The nurse recognizes that this is which part of the nursing process?
1. Evaluation
2. Planning
3. Assessment
4. Implementation
Answer: 3
1. Evaluation is determining the effectiveness of care given.
2. Planning is determining the care needed after assessment.
3. Assessment includes data gathering and past history information.
4. Implementation involves the actual giving of care.
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A client is diagnosed with a complete, unstable compound fracture. The nurse should document that the bone is:
1. covered by an intact skin. 2. nonmoving. 3. treatable without surgery. 4. completely broken through.
Your are assigned to a 69-year-old patient who complains that her legs are cold all the time and her skin is dry and itchy. Which are of the patient's body are optimal for examining skin turgor?
a. the upper arms and lower back c. the anterior chest and abdomen b. the thighs and lower abdomen d. over the clavicle and the lower arms
Which of the following client statements would indicate that the client needs further teaching related to benzodiazepine therapy?
A) "I will not drive until I see how this affects me.". B) "I sometimes share my medications with a friend.". C) "I will not quit taking this medication abruptly.". D) "I will limit alcohol to two beers per night.".
A patient is admitted with an acute asthma attack. He has been using inhaled corticosteroids two times daily. Based on this information in the patient's history, what should you anticipate will be required in his care?
A) Will require an antibiotic to treat infection B) Will require high doses of systemic drugs C) Will need to be evaluated by a pulmonologist D) Will have diminished tidal volume after treatment