The nurse notes that the reddened area on the heel of a bedridden client is smaller 24 hours after placing a padded booty on the heel. What phase of the nursing process is reflected in the nurse's action?
A. Analysis
B. Planning
C. Implementation
D. Evaluation
D
The nurse is evaluating the expected outcome (client response) to a specific intervention for a specific problem. This information is used to determine whether the intervention should be con-tinued, discontinued, or modified.
You might also like to view...
A nurse is discussing fibrinolytic therapy for the acute phase of STEMI management with a group of nursing students. Which statement by a student indicates understanding of this therapy?
a. "Fibrinolytics are effective when the first dose is given up to 24 hours after symp-tom onset." b. "Fibrinolytics should be given once car-diac troponins reveal the presence of STEMI." c. "Fibrinolytics should be used with caution in patients with a history of cerebrovascu-lar accident." d. "Patients should receive either an anti-coagulant or an antiplatelet agent with a fibrinolytic drug."
When feeding a patient, you should feed the patient all of the meat first
True False
In addition to the organ procurement coordinator, which other resource is the best resource for the nurse to use in helping the family make a decision when there is disagreement among family members regarding organ donation?
a. Nurse manager b. Physician c. Ethics committee d. Social worker
The client with bulimia is experiencing anxiety. What action should the nurse take to assist the client to avoid binge eating and purging in response to the anxiety?
1. Assume a matter-of-fact attitude and positive expectations of the client. 2. Project a calm reassuring attitude and provide a quiet non-stimulating environment. 3. Contract for safety since the client is likely to engage in self-injurious behavior. 4. Maintain total control of the environment and project an attitude of authority.