The first step in the process of evaluation is
a. collecting data
b. judging the value of nursing interventions
c. establishing standards
d. determining goal achievement
C
Specific criteria are used to determine whether the demonstrated behavior changes a patient makes are indicators of goal achievement. Standards are established before nursing action is implemented.
You might also like to view...
Which is a cause of fecal incontinence?
a. Chronic illness b. A high-fiber diet c. Increase in use of enemas d. Excessive exercise
A 6 month old is brought to the ER by her babysitter. The babysitter explains that the child has been irritable all morning and will not bear weight on her right leg since she was dropped off at 8 a.m
The babysitter has attempted to contact the mother, but has not been able to reach her. After the examination, the child is diagnosed with spiral femur fracture. The nurse will need to contact Social Services because: 1. Any time a child enters the ER, Social Services needs to be contacted. 2. The mother did not bring the child in, and the babysitter does not have medical power of attorney, so a social worker will determine the needs of the child. 3. A femur fracture is abnormal unless trauma or abuse has occurred. Social Services will help to rule out child abuse. 4. The social worker will be of no help until the mother asks for services.
When planning the care for a client during the postoperative period, the nurse would identify what as the goal for care?
1. Provide necessary preoperative teaching. 2. Assist the client to achieve the most optimal health status possible. 3. Ensure client safety. 4. Maintain an aseptic environment.
The patient is receiving sodium bicarbonate intravenously (IV) for correction of acidosis secondary to diabetic coma. The nurse assesses cyanosis, slow respirations, and irregular pulse. What is the nurse's priority action?
1. Increase the rate of the infusion and continue to assess the patient for symptoms of acidosis. 2. Decrease the rate of the infusion and continue to assess the patient for symptoms of alkalosis. 3. Continue the infusion; the patient is still in acidosis. 4. Stop the infusion and notify the physician; the patient is in alkalosis.