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chapter 4 Nursing Process and Critical Thinking My Nursing Test Banks

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The nurse who uses the nursing process will - approach the patients disorder in a step-by-step method. A nurse will arrive at a nursing diagnosis through the nursing process step of - assessment. In the collaborative process of delivering care based on the nursing process, the responsibility of the LPN/LVN is to - collect data of health status. The participants of the planning stage of the nursing process during which the health goals are defined include the - health team, the patient, and the patients family. When a resident in the nursing home complains of constipation, the nurse performs a digital rectal examination and finds a hard fecal mass. This is an example of - assessment. The nurse completing morning assessments on a patient who is sitting up in bed is told by the patient, Im having trouble breathing I can't seem to get enough air. The best nursing response is to - finish the vital signs for the assigned patients, and then notify the charge nurse. The order in which the nursing process is approached is - assessment, nursing diagnosis, planning, implementation, evaluation. Once the nursing plan has been initiated, the nursing care plan will - change as the patient's condition changes. When a patient states, I can't walk very well, the first problem-solving step would be to - find out what the problem is, such as weakness or poor balance.

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