Author Question: MC The implementation phase of the nursing process is best described as the A. Organizational ... (Read 188 times)

charchew · **on:** Jul 24, 2018

MC The implementation phase of the nursing process is best described as the

A. Organizational aspects of the nursing process
B. Action component of the nursing process
C. Foundation for the therapeutic plan of care
D. Problem-solving foundation of client care

Question 2

Within the first 2 days after central venous line insertion, the nurse is alert to the possibility of a pneumothorax. The nurse observes the client for:

A. Dizziness and restlessness
B. Shortness of breath and chest pain
C. Malaise, elevated white count
D. Decreased level of consciousness and chills

ntsoane kedibone · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

B

Answer to Question 2

B
B. Observe client for shortness of breath, pain in the chest or shoulder within 31 to 48 hours after insertion of cathetersymptoms indicate delayed complication of pneumothorax.
A. Client is shaky, dizzy, nervous, anxious, senses hunger, and blood sugar level less than 80 mg/100 ml are signs of hypoglycemia.
C and D. Symptoms of systemic infection are isolation of same microorganism from blood culture and catheter segment, with client showing fever, chills, malaise, elevated white blood cell count.