Chapter 20: Evaluation
ra ra
MULTIPLE CHOICE ra
1. A nursing attendant determines that the hospital client ’s condition has improved and has me
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t expected outcomes. Which step of the nursing process is the nursing attendant exhibiting
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? a. Assessment
b. Planning
c. Implementation
d. Evaluation
ACCURATE ANSWER:-D ra
Evaluation, the final step of the nursing process, is crucial to determine whether, after applic
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ation of the first four steps of the nursing process, a hospital client ’s condition or well being imp
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
roves and if goals have been met. Assessment, the first step of the process, includes d
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ata collection. Planning, the third step of the process, involves setting priorities, identifying h
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ospital client goals and outcomes, and selecting nursing interventions. During implementati
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on, nursing attendant s carry out nursing care, which is necessary to help hospital client s ac
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
hieve their goals. ra ra
DIF:Understand (comprehension) ra
OBJ:Examine the relationship between critical thinking, clinical judgment and evaluation of nursing
ra ra ra ra ra ra ra ra ra ra ra ar
care. TOP:Evaluation MSC: Management of Care ra ra
2. A nursing attendant completes a thorough database and carries out nursing intervention
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s based on priority diagnoses. Which action will the nursing attendant take next? a.
ar ra ra ra ra ra ra ra ra ra ra ra
Assessment
b. Planning
c. Implementation
d. Evaluation
ACCURATE ANSWER:-D ra
Evaluation, the final step of the nursing process, is crucial to determine whether, after applicati
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
on of the first four steps of the nursing process, a hospital client ’s condition or well being improv
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
es. Assessment involves gathering information about the hospital client . During t
ra ra ra ra ra ra ra ra ra ra ra
he planning phase, hospital client outcomes are determined. Implementation involves carrying
ra ra ra ra ra ra ra ra ra ra ar
out appropriate nursing interventions.
ra ra ra
DIF:Understand (comprehension) ra
OBJ:Examine the relationship between critical thinking, clinical judgment and evaluation of nursing
ra ra ra ra ra ra ra ra ra ra ra ar
care. TOP:Evaluation MSC: Management of Care ra ra
3. A novice nursing attendant asks the preceptor to describe the primary purpose o
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f evaluation. Which statement made by the nursing preceptor is most accurate?
ar ra a. ra ra ra ra ra ra ra ra ra
―An evaluation helps you determine whether all nursing interventions were
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completed.‖
b. ―During evaluation, you determine when to downsize staffing on nursing units.‖
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, c. ―Nursing attendant s use evaluation to determine the effectiveness of nursing care.‖ ra ra ra ra ra ra ra ra ra ra ra
d. ―Evaluation eliminates unnecessary paperwork and care planning.‖ ra ra ar ra ra ra
ACCURATE ANSWER:-C ra
Evaluation is a methodical approach for determining if nursing implementation was effective
ra ra ra ra ra ra ra ra ra ra ra ar
in influencing a hospital client ’s progress or condition in a favorable way. During evaluation, y
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ou do not simply determine whether nursing interventions were completed. The evaluation p
ra ra ra ra ra ra ra ra ra ra ra ra
rocess is not used to determine when to downsize staffing or how to eliminate paperwork an
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
d care planning.
ra ra
DIF:Understand (comprehension) ra
OBJ:Examine the relationship between critical thinking, clinical judgment and evaluation of nursing
ra ra ra ra ra ra ra ra ra ra ra ar
care. TOP:Teaching/Learning MSC: Management of Care ra ra ra
4. After assessing the hospital client and identifying the need for headache relief, the nursin
ra ra ra ra ra ra ra ra ra ra ra ra ra
gar
attendant administers acetaminophen. Which action by the nursing attendant is priorit
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y f or this hospital client ?
ra ar ra ra ra
a. Eliminate headache from the nursing care plan. ra ra ra ra ra ra
b. Direct the nursing assistive personnel to ask if the headache is relieved.
ra ra ra ra ra ra ra ra ra ra ra
c. Reassess the hospital client ’s pain level in 30 minutes. ra ra ra ra ra ra ra ra ra
d. Revise the plan of care. ra ra ra ra
ACCURATE ANSWER:-C ra
The nursing attendant ’s priority action for this hospital client is to evaluate whether the nur
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
sing intervention of administering acetaminophen was effective. The nursing attendant does
ra ra ra ra ra ra ra ra ra ra ra
not have enough evaluative data at this point to determine whether headache needs to be disc
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ontinued. Assessment is the nursing attendant ’s responsibility and is not to be delegated to n
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ursing assistive personnel. The nursing attendant does not have enough evaluative data to det
ra ra ra ra ra ra ra ra ra ra ra ra ar
ermine whether the hospital client ’s plan of care needs to be revised.
ra ra ra ra ra ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Examine the relationship between critical thinking, clinical judgment and evaluation of nursing
ra ra ra ra ra ra ra ra ra ra ra ar
care. TOP:Evaluation MSC: Basic Care and Comfort ra ra ra
5. A nursing attendant is getting ready to discharge a hospital client who is experiencing
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
impaired physical mobility. What does the nursing attendant need to do before disco
ra ra ra ra ra ra ra ra ra ra ra ra
ntinuing the hospital client ’s plan of care? ra ra ra ra ra ra ra
a. Determine whether the hospital client has transportation to get home. ra ra ra ra ra ra ra ra ra
b. Evaluate whether hospital client goals and outcomes have been met. ra ra ra ra ra ra ra ra ra
c. Establish whether the hospital client has a follow-up appointment scheduled. ra ra ra ra ra ra ra ra ra
d. Ensure that the hospital client ’s prescriptions have been filled to take home.
ra ra ra ra ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-B ra
You evaluate whether the results of care match the expected outcomes and goals set for a hos
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
pital client before discontinuing a hospital client ’s plan of care. The hospital client needs tran
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
sportation, but that does not address the hospital client ’s mobility status. Whether the hospi
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
tal client has a followup appointment and ensuring that prescriptions are filled do not evaluate t
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
he problem of mob ility.
ra ra ra
DIF:Apply (application) ra
OBJ:Discuss the process of determining the need to revise a hospital client ’s plan o
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
f care. TOP:Evaluation MSC: Management of Care
ra ra ra ra ra
, 6. The nursing attendant is evaluating whether hospital client goals and outcomes have bee
ra ra ra ra ra ra ra ra ra ra ra ra
n met for a hospital client
ar ra with impaired physical mobility due to a fractured leg.
ra ra ra ra ra ra ra ra ra ra ra ra ra
Which fi nding indicates the hospital client has met an expected outcome?
ra ra ra ra ra ra ra ra ra ra
a. The nursing attendant provides assistance while the hospital client is walking in the
ra ra ra ra ra ra ra ra ra ra ra ra ar
hallways.
b. The hospital client is able to ambulate in the hallway with crutches.
ra ra ra ra ra ra ra ra ra ra ra
c. The hospital client will deny pain while walking in the hallway.
ra ra ra ra ra ra ra ra ra ra
d. The hospital client ’s level of mobility will improve.
ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-B ra
The hospital client ’s being able to ambulate in the hallway with crutches is an expected out
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
come of nursing care. The outcomes of nursing practice are the measurable conditions of hos
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
pital client , family or community status, behavior, or perception. These outcomes are the crite
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ria used to judge success in delivering nursing care. The option stating, ―The hospital client
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
’s level of mobility will improve‖ is a broader goal statement. The nursing attendant ’s assistin
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
g a hospital client to ambulate is an intervention. The hospital client ’s denying pain is an ex
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
pected outcome for pain, not for physical mobility problems.
ra ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Examine the relationship between critical thinking, clinical judgment and evaluation of nursing
ra ra ra ra ra ra ra ra ra ra ra a
r
care. TOP:Evaluation MSC: Management of Care ra ra
7. The nursing attendant is evaluating whether a hospital client ’s turning schedule was effec
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tive in preventing the formation of pressure ulcers. Which finding indicates success of the t
ra ra ra ra ra ra ra ra ra ra ra ra ar ra
urning schedule? ra
a. Staff documentation of turning the hospital client every 2 hours
ra ra ra ra ra ra ra ra ra
b. Presence of redness only on the heels of the hospital client ra ra ra ra ra ra ra ra ra ra
c. Hospital client understands the need for regular turning ra ra ra ra ra ra ra
d. Absence of skin breakdown ra ra ra
ACCURATE ANSWER:-D ra
To determine whether a turning schedule is successful, the nursing attendant needs to assess
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
for the presence of skin breakdown. Redness on any part of the body, including only the hospi
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
tal client ’s heels, indicates that the turning schedule was not successful. Documentation of in
ra ra ra ra ra ra ra ra ra ra ra ra ar ra
terventions does not evaluate whether hospital client outcomes were met. While it is helpful
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
that the hospital client understands the importance of the intervention, it is not criteria for suc
ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
cessfulness of the turning schedule. ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Analyze the relationship among expected outcomes and evaluative measures when evaluating
ra ra ra ra ra ra ra ra ra ra ar
nursing care. TOP:Evaluation MSC: Basic Care and Comfort
ra ra ra ra ra
8. A nursing attendant has instituted a turn schedule for a hospital client to prevent skin brea
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
k
down. Upon evaluation, the nursing attendant finds that the hospital client has a stage II p
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ress ure ulcer on the buttocks. Which action will the nursing attendant take next? a.
ra ra ra ra ra ra ra ra ra ra ra ra
Reassess the hospital client and situation. ra ra ra ra ra
b. Revise the turning schedule to increase the frequency.ra ra ra ra ra ra ra
c. Delegate turning to the nursing assistive personnel. ra ra ra ra ra ra
d. Apply medication to the area of skin that is broken down.
ra ra ra ra ra ra ra ra ra ra
ra ra
MULTIPLE CHOICE ra
1. A nursing attendant determines that the hospital client ’s condition has improved and has me
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
t expected outcomes. Which step of the nursing process is the nursing attendant exhibiting
ar ra ra ra ra ra ra ra ra ra ra ra ra
? a. Assessment
b. Planning
c. Implementation
d. Evaluation
ACCURATE ANSWER:-D ra
Evaluation, the final step of the nursing process, is crucial to determine whether, after applic
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ation of the first four steps of the nursing process, a hospital client ’s condition or well being imp
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
roves and if goals have been met. Assessment, the first step of the process, includes d
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ata collection. Planning, the third step of the process, involves setting priorities, identifying h
ra ra ra ra ra ra ra ra ra ra ra ra ra
ospital client goals and outcomes, and selecting nursing interventions. During implementati
ra ra ra ra ra ra ra ra ra ra
on, nursing attendant s carry out nursing care, which is necessary to help hospital client s ac
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
hieve their goals. ra ra
DIF:Understand (comprehension) ra
OBJ:Examine the relationship between critical thinking, clinical judgment and evaluation of nursing
ra ra ra ra ra ra ra ra ra ra ra ar
care. TOP:Evaluation MSC: Management of Care ra ra
2. A nursing attendant completes a thorough database and carries out nursing intervention
ra ra ra ra ra ra ra ra ra ra ra
s based on priority diagnoses. Which action will the nursing attendant take next? a.
ar ra ra ra ra ra ra ra ra ra ra ra
Assessment
b. Planning
c. Implementation
d. Evaluation
ACCURATE ANSWER:-D ra
Evaluation, the final step of the nursing process, is crucial to determine whether, after applicati
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
on of the first four steps of the nursing process, a hospital client ’s condition or well being improv
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
es. Assessment involves gathering information about the hospital client . During t
ra ra ra ra ra ra ra ra ra ra ra
he planning phase, hospital client outcomes are determined. Implementation involves carrying
ra ra ra ra ra ra ra ra ra ra ar
out appropriate nursing interventions.
ra ra ra
DIF:Understand (comprehension) ra
OBJ:Examine the relationship between critical thinking, clinical judgment and evaluation of nursing
ra ra ra ra ra ra ra ra ra ra ra ar
care. TOP:Evaluation MSC: Management of Care ra ra
3. A novice nursing attendant asks the preceptor to describe the primary purpose o
ra ra ra ra ra ra ra ra ra ra ra ra
f evaluation. Which statement made by the nursing preceptor is most accurate?
ar ra a. ra ra ra ra ra ra ra ra ra
―An evaluation helps you determine whether all nursing interventions were
ra ra ra ra ra ra ra ra ra ar
completed.‖
b. ―During evaluation, you determine when to downsize staffing on nursing units.‖
ra ra ra ra ra ra ra ra ra ra
, c. ―Nursing attendant s use evaluation to determine the effectiveness of nursing care.‖ ra ra ra ra ra ra ra ra ra ra ra
d. ―Evaluation eliminates unnecessary paperwork and care planning.‖ ra ra ar ra ra ra
ACCURATE ANSWER:-C ra
Evaluation is a methodical approach for determining if nursing implementation was effective
ra ra ra ra ra ra ra ra ra ra ra ar
in influencing a hospital client ’s progress or condition in a favorable way. During evaluation, y
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ou do not simply determine whether nursing interventions were completed. The evaluation p
ra ra ra ra ra ra ra ra ra ra ra ra
rocess is not used to determine when to downsize staffing or how to eliminate paperwork an
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
d care planning.
ra ra
DIF:Understand (comprehension) ra
OBJ:Examine the relationship between critical thinking, clinical judgment and evaluation of nursing
ra ra ra ra ra ra ra ra ra ra ra ar
care. TOP:Teaching/Learning MSC: Management of Care ra ra ra
4. After assessing the hospital client and identifying the need for headache relief, the nursin
ra ra ra ra ra ra ra ra ra ra ra ra ra
gar
attendant administers acetaminophen. Which action by the nursing attendant is priorit
ra ra ra ra ra ra ra ra ra ra
y f or this hospital client ?
ra ar ra ra ra
a. Eliminate headache from the nursing care plan. ra ra ra ra ra ra
b. Direct the nursing assistive personnel to ask if the headache is relieved.
ra ra ra ra ra ra ra ra ra ra ra
c. Reassess the hospital client ’s pain level in 30 minutes. ra ra ra ra ra ra ra ra ra
d. Revise the plan of care. ra ra ra ra
ACCURATE ANSWER:-C ra
The nursing attendant ’s priority action for this hospital client is to evaluate whether the nur
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
sing intervention of administering acetaminophen was effective. The nursing attendant does
ra ra ra ra ra ra ra ra ra ra ra
not have enough evaluative data at this point to determine whether headache needs to be disc
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ontinued. Assessment is the nursing attendant ’s responsibility and is not to be delegated to n
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ursing assistive personnel. The nursing attendant does not have enough evaluative data to det
ra ra ra ra ra ra ra ra ra ra ra ra ar
ermine whether the hospital client ’s plan of care needs to be revised.
ra ra ra ra ra ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Examine the relationship between critical thinking, clinical judgment and evaluation of nursing
ra ra ra ra ra ra ra ra ra ra ra ar
care. TOP:Evaluation MSC: Basic Care and Comfort ra ra ra
5. A nursing attendant is getting ready to discharge a hospital client who is experiencing
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
impaired physical mobility. What does the nursing attendant need to do before disco
ra ra ra ra ra ra ra ra ra ra ra ra
ntinuing the hospital client ’s plan of care? ra ra ra ra ra ra ra
a. Determine whether the hospital client has transportation to get home. ra ra ra ra ra ra ra ra ra
b. Evaluate whether hospital client goals and outcomes have been met. ra ra ra ra ra ra ra ra ra
c. Establish whether the hospital client has a follow-up appointment scheduled. ra ra ra ra ra ra ra ra ra
d. Ensure that the hospital client ’s prescriptions have been filled to take home.
ra ra ra ra ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-B ra
You evaluate whether the results of care match the expected outcomes and goals set for a hos
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
pital client before discontinuing a hospital client ’s plan of care. The hospital client needs tran
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
sportation, but that does not address the hospital client ’s mobility status. Whether the hospi
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
tal client has a followup appointment and ensuring that prescriptions are filled do not evaluate t
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
he problem of mob ility.
ra ra ra
DIF:Apply (application) ra
OBJ:Discuss the process of determining the need to revise a hospital client ’s plan o
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
f care. TOP:Evaluation MSC: Management of Care
ra ra ra ra ra
, 6. The nursing attendant is evaluating whether hospital client goals and outcomes have bee
ra ra ra ra ra ra ra ra ra ra ra ra
n met for a hospital client
ar ra with impaired physical mobility due to a fractured leg.
ra ra ra ra ra ra ra ra ra ra ra ra ra
Which fi nding indicates the hospital client has met an expected outcome?
ra ra ra ra ra ra ra ra ra ra
a. The nursing attendant provides assistance while the hospital client is walking in the
ra ra ra ra ra ra ra ra ra ra ra ra ar
hallways.
b. The hospital client is able to ambulate in the hallway with crutches.
ra ra ra ra ra ra ra ra ra ra ra
c. The hospital client will deny pain while walking in the hallway.
ra ra ra ra ra ra ra ra ra ra
d. The hospital client ’s level of mobility will improve.
ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-B ra
The hospital client ’s being able to ambulate in the hallway with crutches is an expected out
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
come of nursing care. The outcomes of nursing practice are the measurable conditions of hos
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
pital client , family or community status, behavior, or perception. These outcomes are the crite
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ria used to judge success in delivering nursing care. The option stating, ―The hospital client
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
’s level of mobility will improve‖ is a broader goal statement. The nursing attendant ’s assistin
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
g a hospital client to ambulate is an intervention. The hospital client ’s denying pain is an ex
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
pected outcome for pain, not for physical mobility problems.
ra ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Examine the relationship between critical thinking, clinical judgment and evaluation of nursing
ra ra ra ra ra ra ra ra ra ra ra a
r
care. TOP:Evaluation MSC: Management of Care ra ra
7. The nursing attendant is evaluating whether a hospital client ’s turning schedule was effec
ra ra ra ra ra ra ra ra ra ra ra ra ra
tive in preventing the formation of pressure ulcers. Which finding indicates success of the t
ra ra ra ra ra ra ra ra ra ra ra ra ar ra
urning schedule? ra
a. Staff documentation of turning the hospital client every 2 hours
ra ra ra ra ra ra ra ra ra
b. Presence of redness only on the heels of the hospital client ra ra ra ra ra ra ra ra ra ra
c. Hospital client understands the need for regular turning ra ra ra ra ra ra ra
d. Absence of skin breakdown ra ra ra
ACCURATE ANSWER:-D ra
To determine whether a turning schedule is successful, the nursing attendant needs to assess
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
for the presence of skin breakdown. Redness on any part of the body, including only the hospi
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
tal client ’s heels, indicates that the turning schedule was not successful. Documentation of in
ra ra ra ra ra ra ra ra ra ra ra ra ar ra
terventions does not evaluate whether hospital client outcomes were met. While it is helpful
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
that the hospital client understands the importance of the intervention, it is not criteria for suc
ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
cessfulness of the turning schedule. ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Analyze the relationship among expected outcomes and evaluative measures when evaluating
ra ra ra ra ra ra ra ra ra ra ar
nursing care. TOP:Evaluation MSC: Basic Care and Comfort
ra ra ra ra ra
8. A nursing attendant has instituted a turn schedule for a hospital client to prevent skin brea
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
k
down. Upon evaluation, the nursing attendant finds that the hospital client has a stage II p
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ress ure ulcer on the buttocks. Which action will the nursing attendant take next? a.
ra ra ra ra ra ra ra ra ra ra ra ra
Reassess the hospital client and situation. ra ra ra ra ra
b. Revise the turning schedule to increase the frequency.ra ra ra ra ra ra ra
c. Delegate turning to the nursing assistive personnel. ra ra ra ra ra ra
d. Apply medication to the area of skin that is broken down.
ra ra ra ra ra ra ra ra ra ra
