The nurse is developing a plan of care for a recently admitted client. The nurse recognizes that the basis for the plan and implementation of care is (are):
1. The nursing diagnosis
2. The objective data
3. The subjective data
4. Client goals
1
Rationale 1: The nursing diagnosis is the basis for the plan and implementation of care delivered to the client.
Rationale 2: Objective and subjective data are collected and used to formulate the nursing diagnosis.
Rationale 3: Objective and subjective data are collected and used to formulate the nursing diagnosis.
Rationale 4: Client goals are developed to determine the success of the care delivered.
You might also like to view...
The perinatal nurse recognizes that which common organism is responsible for postpartum infection manifesting with scant, odorless lochia?
A. Beta-hemolytic streptococcus B. Chlamydia trachomatis C. Escherichia coli D. Treponema pallidum
The traditional method of a total-care delivery system is based on:
A) Different people doing specific tasks for all clients B) A team of people caring for a group of clients C) One RN assigned to 24-hour care responsibility for clients D) One RN assuming responsibility for the plan and delivery of care
A patient is undergoing internal radiation therapy. In planning her care for the day, the nurse must remember to
a. stand at the greatest distance away from the site where an internal radiation device is in the patient's body. b. spend as much time as possible with the patient because of the patient's fear. c. retrieve the applicator and replace if it becomes dislodged. d. provide the patient's family with chairs near the patient.
To increase the absorption of iron in a pregnant woman, the iron preparation should be given with
a. Milk b. Tea c. Orange juice d. Coffee