Which of the following statements best describes the assessment step in the nursing process?
A) Data are analyzed to identify actual and potential health problems.
B) This step sets the tone for the rest of the nursing process.
C) This step involves setting goals and outcomes.
D) The patient's response is assessed based on set outcome criteria.
B
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An intravenous pyelogram confirms the presence of a 4-mm renal calculus in the proximal left ureter of a newly admitted patient. Physician orders include meperidine (Demerol) 100 mg IM q4h PRN, strain all urine, and encourage fluids to 4000 mL/day
What should be the nurse's highest priority when planning care for this patient? a. Pain related to irritation of a stone b. Anxiety related to unclear outcome of condition c. Ineffective health maintenance related to lack of knowledge about prevention of stones d. Risk for injury related to disorientation
The leadership team of a multisystem healthcare organization is hesitant to agree that the current electronic medical record should be replaced with one that would integrate information throughout the entire system. For which reasons should the organization update the system? Select all that apply.
A) Decrease costs B) Reduce staff turnover C) Improve communication D) Enable the delivery of safe quality care E) Ensure care is provided in an effective, efficient manner
The client has pancreatitis. Which client monitoring does the nurse implement for early detection of complications of pancreatitis?
1. Slow deep tendon reflexes. 2. Peaked T waves on EKG. 3. Hypotension with activity. 4. Positive Chvostek's sign
Identify the patient group most commonly diagnosed with esophageal candidiasis.
A. It is most commonly diagnosed in patients who are receiving treatment with antibiotics. B. It is most commonly diagnosed in patients with HIV. C. It is most commonly diagnosed in patients using inhaled corticosteroids or those receiving chemotherapy. D. All of these are correct.