The nurse and client have determined that goals established for health maintenance behaviors have not been achieved. In which step of the nursing process are the nurse and client working at this time?
1. Evaluation
2. Assessment
3. Planning
4. Implementation
1
The nurse and client together measure how well the client has achieved the goals for health maintenance in the plan of care. Goals that have not been achieved are evaluated and adjusted. This is an activity done during the evaluation step of the nursing process. Evaluation of goals is not done during the assessment, planning, or implementation steps of the nursing process.
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The registered nurse is working as charge nurse on a busy high-acuity care unit. Unexpectedly, a coworker becomes ill and needs to leave. There is a period of time in which the unit is short staffed while the ill coworker's replacement travels in to work. What action by the charge nurse is indicated?
1. Make no changes until the replacement nurse arrives. 2. Assign the less acute patients to be cared for by the unlicensed assistive personnel. 3. Assign the unlicensed assistive personnel to watch the monitors and call for help if a patient "gets into trouble." 4. Contact the house supervisor and ask for a float nurse to be sent to the unit.
A patient complains that sometimes there appears to be gnats in the field of vision. The nurse would interpret this statement to mean that the patient has which visual change?
1. Conjunctivitis 2. Floaters 3. Strabismus 4. Nystagmus
IV solutions are classified as isotonic, hypotonic, or hypertonic, depending on their osmolarity
Indicate whether the statement is true or false
The nurse discusses medication interactions with a 28-year-old diabetic female who has been prescribed oral hypoglycemic. Other medications the patient uses regularly include oral contraceptives, ibuprofen as needed, a daily multivitamin, and aspirin. Which of the regular medications may interact with the oral hypoglycemic, causing a decrease in regular drug effectiveness?
A. aspirin B. multivitamin C. oral contraceptive D. ibuprofen