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Author Question: Which of the following correctly identifies and orders the primary steps of the nursing process? ... (Read 89 times)

OSWALD

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Which of the following correctly identifies and orders the primary steps of the nursing process?
 
  1. Establish nursing diagnosis, assessment, intervene, collaborate, evaluation
  2. Establish goals, assessment, intervention, planning, communication
  3. Assessment, establish nursing diagnosis, planning, interventions, evaluation
  4. Assessment, planning, establish objectives, communication, evaluation

Question 2

About which of the following patient assessment data sets would the nurse be most concerned prior to medication administration?
 
  1. White blood cell count, ability to speak, and temperature
  2. Age, allergies, and level of consciousness
  3. Hair color, gender, and body mass index
  4. Weight, height, and blood type



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mirabriestensky

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Answer to Question 1

Correct Answer: 3
Rationale: The primary steps (in order) include assessment, establish nursing diagnosis, planning, interventions, evaluation. Although some steps might not be in this precise order, assessment is done first. The establishment of goals and objectives is generally considered part of planning. Communication is important, but is not a primary step of the nursing process.

Answer to Question 2

Correct Answer: 2
Rationale: Of the data sets listed, age, allergies, and level of consciousness includes the most concerning data, with allergies and level of consciousness being the most concerning. In every situation, the nurse should know whether the patient is allergic to a medication prior to administering. If a patient has an impaired level of consciousness, the route of drug administration needs to be addressed. Hair color is not concerning, while the other listed data are of concern only in certain situations with certain drugs.





 

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