Author Question: After completing a thorough database and analyzing the data to identify any problems, the nurse ... (Read 58 times)

ericka1

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After completing a thorough database and analyzing the data to identify any problems, the nurse should proceed to what step of the nursing process?
 
  a. Assessment
  b. Planning
  c. Implementation
  d. Evaluation

Question 2

Which of these findings, when evaluating another nurse developing a plan of care, should the charge nurse recognize as a source of diagnostic error?
 
  a. Assigning diagnoses while completing the database
  b. Assigning a documented nursing diagnosis of Risk for infection for a patient on intravenous antibiotics
  c. Completing the interview before performing the physical examination
  d. Documenting cultural and religious preferences



aham8f

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Answer to Question 1

ANS: B
In the five-step nursing process, the nurse should establish mutual goals with the patient and prioritize care in the planning phase, which follows the diagnosis phase. The assessment phase of the nursing process involves gathering data. The implementation phase involves carrying out appropriate nursing interventions. During the evaluation phase, the nurse assesses the effectiveness of interventions.

Answer to Question 2

ANS: A
Diagnosis should take place only after the database is completed. The data should be clustered and reviewed to see if any patterns are present before a nursing diagnosis is assigned. Risk for infection is an appropriate diagnosis for a patient with an intravenous (IV) site in place. The IV site involves a break in skin integrity and is a potential source of infection. The diagnostic process should proceed in steps. Completing the interview before the physical examination is appropriate. The patient's cultural background and developmental stage are important to include in a patient database.



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