NURS 3270 Final Exam Questions and Correct Answers

Steps of the Nursing process 1. Assessment 2. Diagnosis 3. Planning 4. Implementation 5. Evaluation Nursing process step 1: Assessment • Assess data over time for changes (trending) • Subjective and objective data - Health History & Review of Systems - Ongoing - Your Physical Assessment of the patient - VS, Labs, x-rays, CT scans- any diagnostics • Organize data Nursing process step 2: Diagnosis Informally, What do you think is going on with the patient? Nursing process step 3: Formulate a plan If you know what needs to be done, do it (aka intervene via interventions in Step 4) Nursing process step 4: Intervention First, check the resources you have available • Current orders • Standing orders for the overseeing physician • PRN orders • "Call the MD if..." parameters • If you need an order for an intervention, call the MD with all the information you gathered. When do we need an order for an intervention? Nursing process step 5: Evaluation • Did our intervention work? • Was it effective in improving the patient status? • Time frame: Tylenol will help the fever now, but other interventions(ABTs) may take a day or two to see improvement. • On-going • We evaluate everything-- from water pitchers to active bl