Which step of the nursing process involves determination of how successfully the client goals have been met?
a. assessment c. implementation
b. evaluation d. planning
B
The process of evaluation depends on all the preceding steps of the nursing process. The evaluation focuses on whether the goals of the client's plan of care have been fully met, partially met, or not met using data from ongoing assessment of the client.
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A client has a pressure ulcer on the medial malleolus. The client's skin is intact with purple discoloration and a blood-filled blister. When documenting this finding, which terminology is appropriate for the nurse to use?
A) Partial-thickness loss of dermis B) Non-blanchable erythema C) Suspected deep tissue injury D) Full-thickness tissue loss
The postpartum patient is about to go home. The nurse includes which of the following subjects in the teaching plan?
1. Puerperal tachycardia 2. Striae and chloasma 3. Diastasis of the recti muscles 4. HELLP syndrome
The nurse is assessing a postpartum patient who had a cesarean section. Which assessments are important for the nurse to perform with this patient? (Select all that apply.)
A) Appetite B) Bleeding C) Urine output D) Lung sounds E) Bowel sounds
Persons with dementia get clues from your body language.
Answer the following statement true (T) or false (F)