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brainmania brainmania
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Posts: 510
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6 years ago
The nurse instructs the patient about incentive spirometry as preoperative teaching. Which phase of the nursing process does this illustrate?
 
  a. Assessment
  b. Planning
  c. Implementation
  d. Evaluation



Which of the following represents an interdependent nursing action?
 
  a. Giving the patient an ordered medication
  b. Bathing the patient
  c. Inserting a Foley catheter
  d. Participating in a code (cardiac arrest response)



The use of standardized plans of care for different patient populations has
 
  a. facilitated the use of critical paths as interdisciplinary plans of care.
  b. required the nurse to individualize the plan of care to the patient.
  c. eliminated the need for the nurse to develop a plan of care for an individual.
  d. increased the time the nurse has to document the plan of care.



Which of the following statements has all of the necessary criteria for a well-written outcome?
 
  a. Patient will consume 50 of meals with no nausea and vomiting by 24 hours postsurgery.
  b. Therapist will report improvement in patient's range of motion on a daily basis.
  c. Patient will ambulate in the halls a little today.
  d. Patient's condition will improve before discharge.
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wrote...
6 years ago
ANS: C

A
The example in the question is an intervention, not an assessment.
B
The example in the question is an intervention, not a plan.
C
Implementation is the phase of the nursing process when interventions are carried out.
D
The example of incentive spirometry is not an evaluation.

- - - - - - - - - - - -

ANS: D

A
Giving the patient an ordered medication is a dependent nursing action.
B
Bathing the patient is an independent nursing action.
C
Inserting a Foley catheter is a dependent nursing action.
D
Participating in a 'code' (cardiac arrest response) is an example of an action that involves collaboration with other health care professionals before and during implementation. It requires a protocol.

- - - - - - - - - - - -

ANS: B

A
Standardized plans of care are not always critical paths and/or interdisciplinary.
B
Although plans for frequent patient problems can be easily produced, the plan of care still may need to be modified to meet the needs of the patient.
C
The use of standardized plans of care has not eliminated the need for an individualized plan.
D
The use of the standardized plans of care has decreased the time required of the nurse to update and document the plan of care.

- - - - - - - - - - - -

ANS: A

A
Patient will consume 50 of meals with no nausea and vomiting by 24 hours postsurgery is specific, measurable, and has a specific time frame.
B
Outcomes should be patient focused.
C
Patient will ambulate in the halls a little today is nonspecific and not measurable.
D
Patient's condition will improve before discharge is nonspecific, is nonmeasurable, and has no time frame.
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