NUR 514 Topic 8 Assignment: Benchm
ark – Electronic Health Record
Implementation Paper (GRADED A)|Sure To
pass|Latest Release
1. A client comes to the walk-in clinic with reports of abdominal pain and diarrhea.
While taking the client's vital signs, the nurse is implementing which phase of the
nursing process?
Assessment
Rationale: The first step in the nursing process is assessment, the process of
collecting data. All subsequent phases of the nursing process (diagnosis, planning,
implementation) rely on accurate and complete data.
2. The nurse is measuring the client's urine output and straining the urine to assess
for stones. Which of the following should the nurse record as objective data?
The client's urine output was 450 mL.
Rationale: Objective data is measurable data that can be seen, heard, or verified by
the nurse. The measurement of urine output is objective; client statements are
subjective data.
3. When evaluating an elderly client's blood pressure (BP) of 146/78 mmHg, the
nurse does which of the following before determining whether the BP is normal or
represents hypertension?
Compare this reading against defined standards.
Rationale: The nurse compares the BP against standards for older adults to
interpret if it's normal or hypertensive.
, 4. Which of the following behaviors by the nurse demonstrates that the nurse is
participating in critical thinking?
A. Admitting not knowing how to do a procedure and requesting help
E. Gathering three assistants to transfer the client to a stretcher after noting the
client weighs 300 lbs.
Rationale: Critical thinking involves self-awareness of knowledge gaps and
resource utilization.
5. Nurse's role in the informed consent process is:
Ensure provider gave the necessary information, ensure patient is competent and
understood, have patient sign the document, notify the provider if the patient
appears not to understand or still has questions.
6. The nurse has documented the following outcome goal in the care plan: "The
client will transfer from bed to chair with two-person assist." The charge nurse tells
the nurse to add which of the following to complete the goal?
Target time
Rationale: The goal needs a timeframe; here, "within a specific time" should be
added.
7. Nurses Role in Advance Directives:
Provide written information, document the client's status, ensure directives reflect
current decisions, inform healthcare team.
8. The 6 Rights of Medication Administration include:
Right dose, Right time, Right patient, Right route, Right documentation, Right
medication.
ark – Electronic Health Record
Implementation Paper (GRADED A)|Sure To
pass|Latest Release
1. A client comes to the walk-in clinic with reports of abdominal pain and diarrhea.
While taking the client's vital signs, the nurse is implementing which phase of the
nursing process?
Assessment
Rationale: The first step in the nursing process is assessment, the process of
collecting data. All subsequent phases of the nursing process (diagnosis, planning,
implementation) rely on accurate and complete data.
2. The nurse is measuring the client's urine output and straining the urine to assess
for stones. Which of the following should the nurse record as objective data?
The client's urine output was 450 mL.
Rationale: Objective data is measurable data that can be seen, heard, or verified by
the nurse. The measurement of urine output is objective; client statements are
subjective data.
3. When evaluating an elderly client's blood pressure (BP) of 146/78 mmHg, the
nurse does which of the following before determining whether the BP is normal or
represents hypertension?
Compare this reading against defined standards.
Rationale: The nurse compares the BP against standards for older adults to
interpret if it's normal or hypertensive.
, 4. Which of the following behaviors by the nurse demonstrates that the nurse is
participating in critical thinking?
A. Admitting not knowing how to do a procedure and requesting help
E. Gathering three assistants to transfer the client to a stretcher after noting the
client weighs 300 lbs.
Rationale: Critical thinking involves self-awareness of knowledge gaps and
resource utilization.
5. Nurse's role in the informed consent process is:
Ensure provider gave the necessary information, ensure patient is competent and
understood, have patient sign the document, notify the provider if the patient
appears not to understand or still has questions.
6. The nurse has documented the following outcome goal in the care plan: "The
client will transfer from bed to chair with two-person assist." The charge nurse tells
the nurse to add which of the following to complete the goal?
Target time
Rationale: The goal needs a timeframe; here, "within a specific time" should be
added.
7. Nurses Role in Advance Directives:
Provide written information, document the client's status, ensure directives reflect
current decisions, inform healthcare team.
8. The 6 Rights of Medication Administration include:
Right dose, Right time, Right patient, Right route, Right documentation, Right
medication.
