Author Question: A nurse determines that the patient's condition has improved and has met expected outcomes. Which ... (Read 62 times)

krzymel · **on:** Jul 22, 2018

A nurse determines that the patient's condition has improved and has met expected outcomes. Which step of the nursing process is the nurse exhibiting?

a. Assessment
b. Planning
c. Implementation
d. Evaluation

Question 2

Which interventions are appropriate for a patient with diabetes and poor wound healing? (Select all that apply.)

a. Perform dressing changes twice a day as ordered.
b. Teach the patient about signs and symptoms of infection.
c. Instruct the family about how to perform dressing changes.
d. Gently refocus patient from discussing body image changes.
e. Administer medications to control the patient's blood sugar as ordered.

owenfalvey · **Reply #1 on:** Jul 22, 2018

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.