Answer to Question 1
D
In the five-step nursing process, evaluation is the last step following assessment, diagnosis, planning, and intervening. Assessment involves gathering information about the patient. Next, nursing diagnoses are determined. During the planning phase, patient outcomes are determined. Implementation involves carrying out appropriate nursing interventions.
Answer to Question 2
A
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A The expected values for the newborn's vital signs are heart rate, 120 to 160 beats per minute; blood pressure, 85/54 mm Hg, and respiratory rate 30 to 60 breaths per minute. This option demonstrates values within the normal range.
B In the option, heart rate, 100 beats per minute; blood pressure, 90/50 mm Hg; respiratory rate, 24 breaths per minute, the heart and respiratory rates are too low and the blood pressure too high for a newborn. These would be normal vital signs for a toddler.
C In the option, heart rate, 90 beats per minute; blood pressure, 100/60 mm Hg; respiratory rate, 20 breaths per minute, the heart and respiratory rates are too low and the blood pressure too high for a newborn. These vital signs are more consistent with the normal range for a preschooler.
D In the option, Heart rate, 80 beats per minute; blood pressure, 100/70 mm Hg; respiratory rate, 16 breaths per minute, the heart and respiratory rates are too low and the blood pressure too high for a newborn. These vital signs are more consistent with the normal findings for a school-age child.
The nurse conducts the health history as the first step in the nursing assessment
Nursing process
Upper Paleolithic stone tools include blade-based tools as seen here being produced from a blade cor
Major trunk lines carrying long-distance traffic crisscrossed the area east of the Mississippi. The
Physiologic changes occurring during shock and their pharmacologic interventions.
Nursing Interventions to Promote Effective Health Maintenance