The nurse is changing a patient's plan of care because identified goals have not been achieved. The nurse is working within which phase of the nursing process?

A) Assessment
B) Planning
C) Implementation
D) Evaluation


D

Nursing

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An older patient is started on spironolactone to control hypertension. The nurse knows to monitor for

a. hyperkalemia. c. confusion. b. irregular heart rate. d. pulmonary edema.

Nursing

Order: Ampicillin 500 mg Available:

a. 1.5 capsules b. 1 capsule c. 2 capsules d. 1/2 capsule

Nursing

After completing a scheduled every-2-hour turn by turning the client to the left side, the nurse notices a reddened area over the coccyx. The area blanches when the nurse compresses it with thumb pressure

One hour later, the nurse reassesses the area and finds the redness has disappeared. How should the nurse document this area? 1. Reactive hyperemia 2. Stage I pressure ulcer 3. Stage II pressure ulcer 4. Stage III pressure ulcer

Nursing

Order: 1,000 mL D5W with heparin 20,000 units IV is to infuse at a rate of 750 units/h

? Calculate the flow rate. Flow rate: __________ mL/h Fill in the blank(s) with correct word

Nursing