Chapter 06: Implementation and Evaluation Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th Edition VERIFIED

Chapter 06: Implementation and Evaluation Williams: Dewitt's Fundamental Concepts and Skills for Nursing, 5th Edition MULTIPLE CHOICE 1. The nurse is aware that one of the time flexible tasks to be accomplished would be: a. administering daily insulin 30 minutes before breakfast. b. taking the patient’s vital signs once a day. c. weighing the patient before breakfast. d. monitoring a critical patient’s vital signs every 15 minutes. ANS: B Daily vital signs can be taken at any time during the day, whereas the other tasks mentioned have a time constraint. DIF: Cognitive Level: Application REF: p. 73 OBJ: Theory #2 TOP: Care Delivery KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 2. Prior to the nurse implementing a nursing procedure for a patient, the nurse should initially: a. question the rationale for the procedure. b. perform a physical assessment of the patient. c. check the agency manual for the procedure. d. mentally review the procedure. ANS: D Reviewing the procedure, checking the manual if uncertain, confirming the order for the procedure, assessing that there is no interference with the completion of the procedure, and identifying the patient are standard steps in deliberative nursing action. DIF: Cognitive Level: Application REF: p. 76|Box 6-2 OBJ: Theory #1 TOP: Care Delivery KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 3. At the 7:00 AM handoff report, the nurse receives the report that patient A had a sleepless night related to pain and just fell asleep after an increased pain medication administration 1/2 hour ago. Patient B, who is scheduled for surgery at 8:30 AM, is also sleeping. How would an organized nurse plan the early morning activities? a. Wake patient A for breakfast. b. Perform time flexible tasks that can be done while both patients sleep. c. Prepare patient B now; allow patient A to sleep. d. Assign a nursing assistant to wake and help feed patient A. ANS: C Setting priorities and identifying time fixed tasks would indicate that patient B needs to be prepared for surgery. Patient A needs to sleep. DIF: Cognitive Level: Analysis REF: p. 73 OBJ: Theory #1 TOP: Care Delivery KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort