A client comes to the emergency department reporting severe chest pain. The nurse asks the client questions and takes vital signs. Which step of the nursing process is the nurse demonstrating?
The nurse is turning a patient in bed and notices that his heels are red. The nurse places the patient on precautions for skin breakdown, this is an example of what type of planning?
These are derived from the problem statement of the nursing diagnosis?
This data is information perceived only by the affected person, this data canot be perceived or verified by another person, ie feeling nervious, nauseatied, pain.
Assessment, diagnosis, Planning, implementation, and evaluation (ADPIE) are part of the?
After enough time has passed the nurse checks on the patient to see if the pain medication given has been effective for pain relieve, this is an example of step in the nursing process?
This planning is best carried out by the nurse who has worked most closely with the patient and family?
A systematic way to form and shape one's thinking is know as?
At shift report the nurse gets report on a new patient the nurse does not get any reports of skin breakdown in report, upon assessing the patient the nurse notes, skin breakdown over the buttocks, which would be priority for the nurse.
Use the word in parentheses
(initial) assessment
(Emergency) assessment
(Focused) assessment
A process in which two or more people with varying degrees of experience and expertise discuss a problem and its solution.
The concept map can help the nurse view the client's situation in a ___________ approach?
A clinical judgment concerning a human response to health conditions/life processes, or vulnerability for that response by an individual, family, or community that a nurse is licensed and competent to treat, is this a Medical Diagnosis or Nursing Diagnosis?
A male client is admitted to the hospital with blunt chest trauma after a motor vehicle accident. The first nursing priority for this client would be to?
(AIRWAY): Assess the client's airway
(PAIN): Provide pain relief
(ENCOURAGE):
Encourage deep breathing and coughing
(SPLINT): Splint the chest wall with a pillow
**** Use the word in parentheses for your answer
Characteristics of the nursing process include - Dynamic, interpersonal, outcome oriented, and universally applicable. what characteristic is missing?
These pathways are tools used in case management to communicate the standardized , interdisciplinary care plan for patients?
The identification of a disease condition based on a specific evaluation of physical signs and symptoms, a patient's medical history, and the results of diagnostic tests and procedures, Is this considered a Medical or Nursing diagnosis?