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The Nurse Is Caring for a Patient Diagnosed with Lyme

Question 13

Multiple Choice

The nurse is caring for a patient diagnosed with Lyme disease. The patient tells the nurse, "My heart seems to be skipping some beats. My doctor told me to let the nurse know if this happens since it might be a complication of my disease." The nurse auscultates the heart and confirms the palpitations. Which step of the nursing process does the nurse's action demonstrate?


A) Assessment
B) Planning
C) Implementation
D) Evaluation

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