Answer to Question 1
ANS: D
Evaluation, the final step of the nursing process, is crucial to determine whether, after application of the first four steps of the nursing process, a patient's condition or well-being improves and if goals have been met. Assessment, the first step of the process, includes data collection. Planning, the third step of the process, involves setting priorities, identifying patient goals and outcomes, and selecting nursing interventions. During implementation, nurses carry out nursing care, which is necessary to help patients achieve their goals.
Answer to Question 2
ANS: A, B, C, E
Nursing priorities include interventions directed at enhancing wound healing. Teaching the patient about signs and symptoms of infection will help the patient identify signs of appropriate wound healing and know when the need for calling the health care provider arises. Performing dressing changes, controlling blood sugars through administration of medications, and instructing the family in dressing changes all contribute to wound healing. As long as a patient is stable and alert, it is appropriate to allow family to assist with care. The patient should be allowed to discuss body image changes.
Pigmented bands in nail of patient with dark skin
Patient teaching - eye assessment
Role-Playing a Situation in Which a Patient Is from Another Culture
Assisting the patient to transfer from the bed or examining table to a wheelchair.
Head of a patient with tertiary syphilis.