Author Question: A nurse is using the problem-oriented approach to data collection. Which action will the nurse take ... (Read 102 times)

aabwk4 · **on:** Jul 22, 2018

A nurse is using the problem-oriented approach to data collection. Which action will the nurse take first?

a. Complete the questions in chronological order.
b. Focus on the patient's presenting situation.
c. Make accurate interpretations of the data.
d. Conduct an observational overview.

Question 2

After reviewing the database, the nurse discovers that the patient's vital signs have not been recorded by the nursing assistive personnel (NAP). Which clinical decision should the nurse make?

a. Administer scheduled medications assuming that the NAP would have reported abnormal vital signs.
b. Have the patient transported to the radiology department for a scheduled x-ray, and review vital signs upon return.
c. Ask the NAP to record the patient's vital signs before administering medications.
d. Omit the vital signs because the patient is presently in no distress.

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

Answer to Question 1

ANS: B
A problem-oriented approach focuses on the patient's current problem or presenting situation rather than on an observational overview. The database is not always completed using a chronological approach if focusing on the current problem. Making interpretations of the data is not data collection. Data interpretation occurs while appropriate nursing diagnoses are assigned. The question is asking about data collection.

Answer to Question 2

ANS: C
The nurse should ask the nursing assistive personnel to record the vital signs for review before administering medicines or transporting the patient to another department. The nurse should not make assumptions when providing high-quality patient care, and omitting the vital signs is not an appropriate action.