Author Question: Which purpose of the evaluation phase of the nursing process is a priority during client care? A) ... (Read 103 times)

lak · **on:** Jul 22, 2018

Which purpose of the evaluation phase of the nursing process is a priority during client care?

A) Examine the client's behavioral response to the care received.
B) Provide basis for the revision of plan of care.
C) Monitor the quality and effects of the nursing care.
D) Appraise collaboration of the client and family.

Question 2

Which nursing action can be categorized as a surveillance or monitoring intervention?

A) auscultating of bilateral lung sounds
B) providing hygiene
C) administering paracetamol tablet
D) use of therapeutic communication skills

janieazgirl · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

Ans: A
Feedback:
Nurses continually assess responses of clients to particular nursing interventions, establish different priorities for nursing diagnoses, and alter plans of care as necessary.

Answer to Question 2

Ans: A
Feedback:
Surveillance or monitoring nursing interventions includes detecting changes from baseline data and recognizing abnormal responses. Nurses rely on the senses to detect changes: observing the appearance and characteristics of clients; hearing by auscultation, pitch, and tone; detecting odors and comparing them with past experience and knowledge of specific problems; and using touch to assess body temperature, skin condition, clamminess, or diaphoresis. Nurses use all of these surveillance or monitoring activities to determine the current status of clients and changes from previous states. Nurses often detect subtle changes in a client's condition and communicate them to the physician to minimize problems.