The nurse realized a client was not drinking enough fluids because she did not like water. The nurse offered her juice and her oral intake improved. The evaluation phase of the nursing process occurred when the nurse:
a. determined the client's intake had improved.
b. identified the reason her intake was low.
c. gave her juice.
d. selected juice as an alternative.
ANS: A
You might also like to view...
Which concept should the nurse utilize when planning care for individuals with a sexually transmitted infection (STI)?
A) Females experience more cases of gonorrhea than males. B) Males have higher rates of human papilloma virus and syphilis than females. C) STIs can only be transmitted through sexual contact. D) Individuals with higher socioeconomic status are more at risk for STIs.
A carrier state does not exist for which pattern?
a. Autosomal dominant c. X-linked recessive b. Autosomal recessive d. Multifactorial inhe-ritance
When teaching a group of nursing students about uterine contractions, which of the following would the instructor include as a typical feature?
A) Thinning out of the upper segment B) Pulling down of the cervical portion C) Contractions stronger in the lower segment D) Retraction of the lower segment
When making an inference from the cues obtained during an assessment, it is important for the nurse to keep what in mind?
A) Validate inferences with the client. B) Do not share inferences with the client. C) Document all inferences. D) Avoid making any inferences.