The nurse documents in the client plan of care that the wound treatment to the client's left foot has resulted in wound healing. She removed the Skin Integrity diagnosis from the plan of care
The nurse is using which aspect of the Nursing Process?
a. Assessment
b. Evaluation
c. Planning outcomes
d. Planning interventions
B
Documenting nursing interventions and a patient's immediate responses (e.g., expressed pain, became restless) is done in the implementation stage. However, in this scenario the nurse also documented that the wound was healing and she removed the nursing diagnosis from the care plan. This demonstrates evaluation.
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The five rights of delegation include (Select all that apply.)
a. Right task. b. Right circumstances. c. Right monetary compensation. d. Right person. e. Right direction. f. Right opinion. g. Right supervision.
A patient who has epilepsy will begin an anticonvulsant medication. The patient asks the nurse how long the medication will be necessary. How will the nurse respond?
a. "The medication is usually taken for a lifetime." b. "The medication will be given until you are seizure-free." c. "You will need to take the medication for 3 to 5 years." d. "You will take the medication as needed for seizure activity."
All of the following are required to confirm a diagnosis of AIDS, EXCEPT:
A. The patient is positive for HIV B. CD8 cell count greater than 200 C. Presence of an opportunistic infection D. CD4 cell count less than 200