A nurse who works in community mental health identifies a minority neighborhood group as having low self-efficacy and being particularly susceptible to a number of stressors. In which phase of the nursing process did this activity take place?
a. Assessment
b. Analysis
c. Planning
d. Implementation
e. Evaluation
C
The analysis/nursing diagnosis phase of the nursing process is in use when the nurse identifies problem areas. Assessment identifies symptoms while planning and implementation involves putting solutions into the therapy plan. Evaluation reviews the outcomes of the therapy plan.
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A post-anesthesia care nurse is receiving a report on a patient who was delivered under general anesthesia. The operating room nurse states that the patient received a dose of metoclopramide (Reglan) IV in the operating room
The nurse explains to a student nurse the purpose of giving this drug is to do which of the following? A. Allow rapid anesthetic induction B. Increase the speed of gastric emptying C. Promote muscle relaxation D. Reduce stomach acid production
The nurse is caring for a client with dysphagia resulting from a stroke. Which of the following is a primary responsibility of the nurse with regard to feeding the client?
A) Inform the client about the kind of food being offered with each mouthful. B) Keep oral and pharyngeal suctioning equipment at the client's bedside. C) Develop a rapport with the client and promote continuity of care. D) Teach the client about the role of nutrition in recovery.
The nurse is reviewing the diagnostic test results for a patient suspected of having a DVT. The results show a negative D-dimer test. How does the nurse interpret this data?
a. The test excludes DVT. b. Venous duplex ultrasonography is needed. c. The patient has arterial disease. d. Impedance plethysmography is needed.
The nurse suspects a fat embolism rather than a pulmonary embolism from a venous thrombosis when the patient with a fracture develops what? The nurse suspects a fat embolism rather than a pulmonary embolism from a venous thrombosis when the patient with a fracture develops what?
Tachycardia and dyspnea Electrocardiographic (ECG) changes and decreased PaO2 Petechiae around the neck and upper chest A sudden onset of chest pain