Author Question: Which assessment made by the nurse should be addressed first? a. Reddened area to coccyx b. ... (Read 53 times)

plus1 · **on:** Jul 23, 2018

Which assessment made by the nurse should be addressed first?

a. Reddened area to coccyx
b. Decreased urinary output
c. Shortness of breath
d. Drainage from surgical incision

Question 2

Setting priorities among identified nursing diagnoses is the first step in the planning process. The nurse is responsible for:

a. monitoring patient responses.
b. carrying out the physician's plan of care.
c. providing all interventions.
d. preventing interference from other disciplines.

anyusername12131 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
It is essential that the nurse identify life-threatening concerns and patient situations that need to be addressed most quickly. The ABCs of life supportairway, breathing, and circulationare a valuable tool for directing the nurse's thought process. Depending on the severity of a problem, the steps of the nursing process may be performed in a matter of seconds. For instance, if a patient is in respiratory arrest, the most critical goal is for the patient to begin breathing. The reddened coccyx, decreased urinary output, and surgical incision drainage are not immediately life threatening.

Answer to Question 2

ANS: A
Setting priorities among identified nursing diagnoses is the first step in the planning process. The nurse is responsible for monitoring patient responses, making decisions culminating in a plan of care, and implementing interventions, including interdisciplinary collaboration and referral, as needed. The nurse is significantly accountable for achieving the desired outcomes.