A nurse is revising a plan of care for a patient with dysphagia (difficulty swallowing) related to an esophageal mass. The patient's goal was to eat more than 50% of a blenderized diet, but he is reporting 8/10 pain and SOB when eating. Which phase of the nursing process is impacted when the nurse develops an intermediate goal of pain less than 4/10 while eating?
A. assessment
B. outcomes/planning
C. implementation
D. evaluation
Answer: D. evaluation
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Before a nurse administers an enteral feeding, it is essential to take which of the following actions?
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" Which electrolyte imbalance should the nurse expect to accompany this condition? A. Hyponatremia B. Hypernatremia C. Hypokalemia D. Hyperkalemia
The nurse is caring for an elder client who has written advance directives. This means that:
1. The elder has expressed his or her wishes regarding terminal medical treatment and decisions if he or she becomes incapacitated. 2. The elder wrote a living will. 3. The elder has a Do Not Resuscitate order. 4. The elder's family has decided on a medical treatment regimen.
A post-anesthesia nurse is reporting about the patient to the intensive care unit nurse in the elevator. There are staff members and visitors in the elevator. The nurse is
A) Implementing therapeutic communication B) Interacting to maintain coordination of care C) Breaching the patient's confidentiality D) Maintaining the continuity of care