Answer to Question 1
D
Taking appropriate action demonstrates the implementation step of the nursing process.
Assessment involves the gathering of data.
When formulating a nursing diagnosis, the nurse critically examines and analyzes the data and identifies the client's response to a problem. The nurse may then determine priorities.
Planning involves establishing goals and expected outcomes of care.
Answer to Question 2
A, B, D, E
To create a new nutritional plan of care, the nurse must utilize characteristics of a normal nutritional status to gauge effectiveness of the plan. The nurse must be aware of previous patient responses to nursing interventions for altered nutrition to determine the probability of success. The nurse must use established expected outcomes to evaluate the patient's response to care (e.g., patient's weight increases by 0.5 kg/week). The nurse must also be creative when designing innovative nursing interventions to meet the patient's nutritional needs and must demonstrate responsibility by following through with evaluation and counseling to successfully reach goals.
A parish nurse checks the blood pressure of a church member
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Magnet hospital nurse requirements
Nurse opens sterile package
Three different ginkgo formulations: tablets, tea bags, and liquid extract.
Tablets for headaches; it says on the label that it does not contain morphine or opium.