The nurse is admitting a patient to the unit and asks the patient about the health history. The nurse is engaged in which component of the nursing process?
a. Evaluation
b. Diagnosis
c. Assessment
d. Planning
C
The nurse is in the assessment phase. An assessment database includes a patient's comprehensive health history, which includes information about a patient's physical and developmental status, emotional health, social practices and resources, goals, values, lifestyle, and expectations about the health care system. The database also includes physical examination findings and a summary of results from laboratory and diagnostic testing. A nursing diagnosis is a clinical judgment about individual, family, or community responses to actual and potential health problems or life processes that the nurse is licensed and competent to treat. Evaluation is crucial to deciding whether, after interventions have been delivered, a patient's condition or well-being improves. Planning involves setting priorities, identifying patient-centered goals and expected outcomes, and prescribing nursing interventions.
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The physician prescribes warfarin 5 mg orally at 1800 for a patient who underwent open reduction and internal fixation of his right hip
After administering the medication, the nurse realizes that she administered a 10 mg tablet instead of the prescribed 5 mg PO. Which of the following actions by the nurse is appropriate? 1) No action is necessary because an extra 5 mg of warfarin is not harmful. 2) Call the prescriber and ask her to change the order to 10 mg. 3) Document on the chart that the drug was given and indicate the drug was given in error. 4) Complete an incident report according to the facility's policy.
Women who are obese and eat a high-fat diet are at risk of
a. cervical cancer c. osteoporosis b. lung cancer d. coronary artery dis-ease
Basing the assessment on knowledge of cultural customs and beliefs, the nurse would identify the client who would have the greatest conflict with heart transplantation as being from the faith of
a. Black Muslim. b. Buddhism. c. Friends (Quakers). d. Russian Orthodox.
In an ICU, you would _________ the dosage of some medications based on patient response
Fill in the blank(s) with correct word