Exam 9: Nursing Process

A nurse is collecting data during the assessment of a patient.During the assessment,the nurse collects both subjective and objective data.Which information should the nurse consider as subjective data?

The nurse is caring for a patient who has been unable to have a bowel movement for the last 4 days after taking prescribed narcotic pain medication.Which nursing diagnosis is appropriate for this patient?

Which actions by the nurse are examples of independent nursing interventions for a postoperative patient?

The nurse completes the assessment for a patient who has just been admitted to the hospital.The nurse carefully documents the patient's current drug list and asks about the use of any herbal supplements or over-the-counter medications.Which phase of the interview does this occur in?

A nurse is delegating care of patients to the certified nursing assistant (CNA)and a licensed practical nurse (LPN).Which task assignment indicates that the nurse needs additional education about delegation?

The nurse enters the patient's room to begin teaching the patient about wound care management.The nurse notes that the patient is nauseated due to medication side effects.What are the priority actions of the nurse?

The nurse is completing the charting after a patient suffered a fall.Which statement is appropriate for the nurse to include in the description of the incident?

The nurse is caring for a toddler who will be having surgery.Which will provide the best primary source of information about how to comfort the child after surgery is completed?

The nurse is conducting an admission assessment for a patient who was brought to the hospital after having a seizure.Which question will the nurse ask to quickly focus on the patient's symptoms?

The nurse is assessing a patient with chest pain who has just come to the hospital.Which open-ended question will provide the nurse with helpful information about the patient's health status?

The nurse is caring for a patient with the nursing diagnosis constipation related to side effects of medications.Which is an appropriate goal for this patient?

The nurse is caring for a patient who came to the hospital with acute shortness of breath.What is the priority action of the nurse as the assessment process is started?

The nurse is caring for an unconscious patient.The nurse repositions the patient at least every 2 hours and ensures that all of the patient's bony prominences are padded.What is the rationale for these actions?

The nurse is caring for a patient with the nursing diagnosis ineffective airway clearance related to narrowed airways and thick sputum.Which is an appropriate goal for this patient?