Foundations of Nursing (228) Final
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Terms in this set (236) Hide definitions
Which phrase should the nurse use 2. Decision making framework
to describe the nursing process?
1. Written plan of care
2. Decision-making framework
3. Another word for critical thinking
4. Validation of information
A patient has a fever. Which 2. place cool washcloth on Pt's forehead
independent intervention can the
nurse implement?
1. Administer acetaminophen every 4
hours
2. Place a cool washcloth on the
patient's forehead
3. Start IV fluids for hydration
4. Obtain blood cultures to
determine cause of fever
,The nurse is contributing data to the Patient
care plan from a primary source.
Which source did the nurse use?
1. Patient
2. Nurse
3. Chart
4. Therapist
The LPN/LVN is collecting data from 1. Develop rapport
a patient by performing an interview.
Which action should the nurse take
first?
1. Develop rapport
2. Perform a physical assessment
3. Take vital signs
4. Ask questions from the form
Which information that the nurse 2. Patient's BP is 12/70
gives in report is objective?
1. Patient has severe stomachache.
2. Patient's blood pressure is 120/70.
3. Patient is apprehensive about
surgery.
4. Patient likes grapefruit juice.
,The LPN/LVN is assisting the RN who 2. Planning
is writing long- and short-term goals.
Which step of the nursing process
are the nurses working on?
1. Assessment
2. Planning
3. Evaluation
4. Diagnosis
The nurse ambulates a patient with 3. Implementation
intestinal gas buildup in the hallway
to help relieve the discomfort. Which
step of the nursing process did the
nurse complete?
1. Assessment
2. Planning
3. Implementation
4. Evaluation
Which patient finding would the 2. Patient has stomach cramps.
nurse report as subjective data?
1. Patient vomited green fluid.
2. Patient has stomach cramps.
3. Patient is rubbing abdomen.
4. Patient moans occasionally.
, The LPN/LVN reviews the nursing 3. Etiology
diagnosis written on the care plan:
Risk for infection related to a break in
the skin. The italicized phrase
represents which component of the
nursing diagnosis?
1. Signs and symptoms
2. Defining characteristics
3. Etiology
4. Problem
The LPN/LVN reviews a patient's care 3. Deficient fluid volume
plan. Which nursing diagnosis is the
priority?
1. Caregiver role strain
2. Spiritual distress
3. Deficient fluid volume
4. Anxiety
Which action by the LPN/LVN 4. Carries out interventions
indicates a correct understanding of
the LPN's/LVN's role in the nursing
process?
1. Formulates a nursing diagnosis
2. Develops expected outcomes
3. Performs an admission assessment
4. Carries out interventions
Leave the first rating
Save
Terms in this set (236) Hide definitions
Which phrase should the nurse use 2. Decision making framework
to describe the nursing process?
1. Written plan of care
2. Decision-making framework
3. Another word for critical thinking
4. Validation of information
A patient has a fever. Which 2. place cool washcloth on Pt's forehead
independent intervention can the
nurse implement?
1. Administer acetaminophen every 4
hours
2. Place a cool washcloth on the
patient's forehead
3. Start IV fluids for hydration
4. Obtain blood cultures to
determine cause of fever
,The nurse is contributing data to the Patient
care plan from a primary source.
Which source did the nurse use?
1. Patient
2. Nurse
3. Chart
4. Therapist
The LPN/LVN is collecting data from 1. Develop rapport
a patient by performing an interview.
Which action should the nurse take
first?
1. Develop rapport
2. Perform a physical assessment
3. Take vital signs
4. Ask questions from the form
Which information that the nurse 2. Patient's BP is 12/70
gives in report is objective?
1. Patient has severe stomachache.
2. Patient's blood pressure is 120/70.
3. Patient is apprehensive about
surgery.
4. Patient likes grapefruit juice.
,The LPN/LVN is assisting the RN who 2. Planning
is writing long- and short-term goals.
Which step of the nursing process
are the nurses working on?
1. Assessment
2. Planning
3. Evaluation
4. Diagnosis
The nurse ambulates a patient with 3. Implementation
intestinal gas buildup in the hallway
to help relieve the discomfort. Which
step of the nursing process did the
nurse complete?
1. Assessment
2. Planning
3. Implementation
4. Evaluation
Which patient finding would the 2. Patient has stomach cramps.
nurse report as subjective data?
1. Patient vomited green fluid.
2. Patient has stomach cramps.
3. Patient is rubbing abdomen.
4. Patient moans occasionally.
, The LPN/LVN reviews the nursing 3. Etiology
diagnosis written on the care plan:
Risk for infection related to a break in
the skin. The italicized phrase
represents which component of the
nursing diagnosis?
1. Signs and symptoms
2. Defining characteristics
3. Etiology
4. Problem
The LPN/LVN reviews a patient's care 3. Deficient fluid volume
plan. Which nursing diagnosis is the
priority?
1. Caregiver role strain
2. Spiritual distress
3. Deficient fluid volume
4. Anxiety
Which action by the LPN/LVN 4. Carries out interventions
indicates a correct understanding of
the LPN's/LVN's role in the nursing
process?
1. Formulates a nursing diagnosis
2. Develops expected outcomes
3. Performs an admission assessment
4. Carries out interventions
