Complete Solutions
A nurse assesses that a patient has slurred speech
and a retained bolus of food in the mouth. The
presence of which additional patient assessments
should be clustered with this group of signs and
symptoms? Select all that apply
A. Dyspepsia
B. Coughing
C. Drooling
D. Gurgling
E. Plaque Correct Answers B. Coughing
C. Drooling
D. Gurgling
A nurse collects information about a patient. Which
should the nurse do next?
A. Plan nursing interventions
B. Write patient-centered goals
C. Formulate nursing diagnosis
D. Determine significance of the data Correct
Answers D. Determine significance of the data
A nurse concludes that a patient's elevated
temperature, pulse and respirations are significant.
Which step of the nursing process is being used
when the nurse comes to this conclusion?
A. Implementation
B. Assessment
, C. Evaluation
D. Analysis Correct Answers D. Analysis
A nurse evaluates a patient's response to a nursing
intervention. To which aspect of the nursing
process is this evaluation most directly related?
A. Goal
B. Problem
C. Etiology
D. Implementation Correct Answers A. Goal
A nurse is caring for a patient with a fever. Which is
a well-designed goal for this patient?
A. The patient will have a lower temperature.
B. The patient will be taught how to take an
accurate temperature.
C. The patient will maintain fluid intake adequate
to prevent dehydration.
D. The patient will be given aspirin every eight
hours whenever necessary. Correct Answers C.
The patient will maintain fluid intake adequate to
prevent dehydration.
A nurse is caring for a patient with urinary
elimination problem. Which are accurately stated
goals? Select all that apply
A. 'The patient will be taught how to use a bedpan
while on bed-rest.'
B. 'The patient will experience fewer incontinence
episodes at night.'