Nursing Process Exam 2 Questions With 100% Correct Answers 2024

Nursing Process Exam 2 Questions With 100% Correct Answers 2024 Which feature is true about standing orders? 1 Meet instrumental activities of daily living. 2 Ensure familiarity with evidence-based guidelines for nursing care. 3 Allow a quick response to a rapidly changing clinical situation. 4 Minimize documentation issues for nurses. - answer3 Which action would the nurse perform when revising a nursing care plan? Select all that apply. One, some, or all responses may be correct. 1 Revise the nursing diagnoses. 2 Add new data with appropriate dates. 3 Maintain irrelevant nursing diagnoses. 4 Choose the method of evaluation for monitoring patient outcomes. - answer1,2,4 Which action is an example of an independent nursing intervention? Select all that apply. One, some, or all responses may be correct. 1 Provide health education 2 Start intravenous (IV) fluids 3 Administer a hypertension agent 4 Assist with daily activities 5 Reposition a patient - answer1,4,5 Which problem would the nurse add to the care plan after evaluating a diabetic patient who had a problem with glucose control but is now restless and asking many questions about an upcoming procedure on the big toe? 1 Anxiety 2 Glucose control 3 Diabetes 4 Risk of toe infection - answer1 Setting a time frame for outcomes of care determines which purpose? 1 The priority level 2 Time it takes to complete an intervention 3 How long the nurse is scheduled to care for a patient 4 When the patient is expected to respond in the desired manner - answer4 Which action would the nurse take for a patient who agrees with the nurse that expected outcomes were met? 1 Modify the care plan. 2 Revise the plan of care. 3 Discontinue the care plan. 4 Continue with the plan of care. - answer3 Which response would the nurse make for a patient who expresses confusion about how to manage a leg wound after discharge? 1 Provide a written document that contains the necessary instructions. 2 Tell the patient that a relative will be taught how to take care of the wound. 3 Explain and demonstrate the necessary action to the patient. 4 Inform the patient that it will be explained later during discharge. - answer3 The nurse would evaluate which goal based upon the following reassessment: upon removal of the intravenous (IV) line from the right arm, the site was clean and dry with no signs of redness or tenderness? 1 Patient expresses acceptance of health status by day of discharge. 2 Patient's surgical wound will be free of drainage. 3 Patient's IV site will remain free of infection. 4 Patient understands when to call the health care provider to report complications. - answer3 Which priority action would the nurse take before administering a new drug? 1 Confer with a colleague before giving the medication. 2 Consult with a pharmacist to obtain knowledge about the medication. 3 Ask the patient about the medication. 4 Administer the medication as prescribed and on time. - answer2 Which expected outcome would be appropriate for a patient who is vomiting? 1 Patient stops vomiting in 2 hours. 2 The antiemetic (drug to stop vomiting) will be administered every 6 hours. 3 The antiemetic will not produce side effects in the patient. 4 Patient will not vomit again. - answer1 Which intervention performed by the nurse is an interdependent intervention? Select all that apply. One, some, or all responses may be correct. 1 Preparing the patient for diagnostic tests 2 Administering medications to the patient