The student nurse learning to write nursing care plans learns that evaluation
a. happens at the end of an episode of care.
b. is valuable when the patient has met goals.
c. occurs at each step of the nursing process.
d. should occur every few days on a schedule.
C
Evaluation should occur at each step of the nursing process to ensure that appropriate actions were taken. It may be done to judge whether assessment data were accurate or whether planned interventions were effective.
An evaluation should occur at the end of an episode of care, but this is not the only time it should occur; thus, this is not the best answer.
Evaluation after the patient has met goals does not really help the nursing process for that patient.
Evaluation should occur more frequently than every few days; it should also occur on a less rigid schedule.
You might also like to view...
A patient is admitted to the intensive care unit with hyperkalemia. The nurse caring for the patient knows that the most severe adverse effect of hyperkalemia is what?
A) Renal failure B) Cardiac emergency C) Liver failure D) Respiratory distress
To assess a patient's apical pulse, the nurse would locate the apical pulse site and
a. gently palpate with the first three fingers for the pulsations. b. press firmly with all five fingers, because the pulsations are difficult to locate at this site. c. place the diaphragm of the stethoscope over the pulse site and listen for the heartbeat. d. palpate the radial pulse while listening to the apical rate with the stethoscope.
A hospitalized patient has a blood pressure of 145/96 mm Hg. The nurse caring for this patient notes that the blood pressure the day before was 132/98 mm Hg. The patient reports ambulatory blood pressure readings of 136/98 and 138/92 mm Hg
The patient has a history of a previous myocardial infarction and has adopted a lifestyle that includes use of the DASH diet and regular exercise. What will the nurse do? a. Notify the provider and discuss ordering a beta blocker for this patient. b. Notify the provider and suggest a thiazide diuretic as initial therapy. c. Order a diet low in sodium and high in potassium for this patient. d. Recheck the patient's blood pressure in 4 hours to verify the result.
In using nitrate products for coronary artery disease, the nurse instructs the patient about the benefits of taking nitrates using which of the following responses. (Select all that apply.)
1. Oxygen demands are reduced in the heart. 2. Small blood vessels are increased in the heart. 3. The inner heart has less oxygen supply. 4. Oral nitrates are changed in the liver to inactive products.