WKU Nursing Fundamentals Chapters 16, 17, 18, 19, 20, 26
The Nursing Process Questions With Complete Solutions
"From the report I received from your night shift nurse and the
information I read in your chart, I gather that you have been
nauseated since 2am. Is that correct?"
This is an example of what? Correct Answers Validating data
Expected outcomes must be...? Correct Answers Measurable
and observable
How do you document evaluation? Correct Answers Fully met
Partially met
Not met
Relevant, need revision/modification, or completed as planned
If all else fails,...? Correct Answers Care
If the patient has two problems what should you do related to the
diagnosis? Correct Answers Don't state two problems in one
diagnosis;
Create two diagnoses
If there is a mechanical disfunction with equipment in the room
should you record it in a diagnosis? Correct Answers No; Don't
write diagnosis that could be legally incriminating
, If you feel you need to state the medical diagnosis to better
explain the situation use what? Correct Answers "Secondary
to"
In what is the part of the nursing process to the nurse and the
patient determine how well the plan has worked? Correct
Answers Evaluation
In what part of the nursing process do you gather and examine
information (data) to obtain all the facts necessary to determine
your patient's health status and to describe strengths and
problems? Correct Answers Assessment
Medical diagnosis doesn't always...? Correct Answers
Determine that priority nursing diagnosis
Mistakes in documentation that commonly result in malpractice
include? Correct Answers Failing to record health or drug
information
Failing to record nursing actions
Failing to record medication administration
Incomplete or illegible records
Failing to document discontinued medications
Once a nurse assesses a patient's condition and identifies the
appropriate diagnosis, what happens next? Correct Answers
Plans are developed for the patient's nursing care
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