List, in the correct order, the five steps of the nursing process
What will be an ideal response?
1. Assessment
2. Nursing diagnosis
3. Planning nursing care
4. Implementing the plan
5. Evaluating the plan
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The nurse is assessing a client with a severe left pleural effusion. Which assessment data does the nurse anticipate based on the client's diagnosis? Select all that apply
1. Absent breath sounds on the left side. 2. Tracheal shift to the right. 3. Hyperresonance upon percussion. 4. Bronchial breath sounds of the right side. 5. Pleural friction rub auscultated.
A student nurse who works in a pediatric clinic is assisting with an assessment on a young child who is not yet walking. She knows that it is considered a delayed gross motor ability if the child does not walk by _____ months
a. 16 b. 18 c. 20 d. 22
The nurse manager at an acute care facility is educating the staff nurses on the definition of a sentinel event. Which examples of sentinel events would be appropriate for the nurse manager to present to the staff nurses?
Select all that apply. A) Delivery of radiation to the wrong body region B) Invasive surgical procedure at the wrong site C) Homicide of a staff member while at the facility D) Homicide of a patient while at the facility E) Administration of a compatible blood transfusion
Inflammation is initiated by cellular injury and: (Select all that apply.)
a. is necessary for tissue repair. b. inhibits the process called chemotaxis. c. is harmful when uncontrolled. d. is less efficient when complement proteins are present. e. occurs when mediators cause vasoconstriction.