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Author Question: The nurse decides to administer tablets of acetaminophen (Tylenol) instead of the ibuprofen she has ... (Read 109 times)

ts19998

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The nurse decides to administer tablets of acetaminophen (Tylenol) instead of the ibuprofen she has been giving one of her orthopedic clients, in accordance with the prescriber's order. Which step of the nursing process does this address?
 
  a. Assessment
  b. Nursing diagnosis
  c. Planning
  d. Implementation

Question 2

To create a new nutritional plan of care for a patient, the nurse needs to do which of the following? (Select all that apply.)
 
  a. Utilize the characteristics of a normal nutritional status.
  b. Evaluate previous patient responses to nursing interventions.
  c. Exclude established expected outcomes to evaluate patient responses.
  d. Design innovative interventions to meet the patient's needs.
  e. Follow through with evaluation and counseling.



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beccamahon

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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.





 

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