The nurse is developing a human needs statement for a patient who has a new diagnosis of1.heart failure. Identification of human needs statements occur with which of these activities?a.Collection of patient datab.Adminis
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The nurse is developing a human needs statement for a patient who has a new diagnosis of1.heart failure. Identification of human needs statements occur with which of these activities?a.Collection of patient datab.Administering interventionsc.Deciding on patient outcomesd.Documenting thepatient'sbehaviorANS: AIdentification of human needs occurs with the collection of patient data.
DIF:Cognitive Level: Understanding (Comprehension)TOP: Nursing Process: Human Needs StatementMSC: NCLEX: Safe and Effective Care Environment: Management of Care
The patient is to receive oral guaifenesin twice a day. Today, the nurse was busy and gave the2.medication 2 hours after the scheduled dose was due. What type of problem does thisrepresent?a.―Right time‖b.―Right dose‖c.―Right route‖d.―Right medication‖ANS: A―Right time‖is correct because the medication was given more than 30 minutes after thescheduled dose was due.―Dose‖isincorrect becausethe doseisnot related to the time themedication administration is scheduled.―Route‖is incorrect because the route is not affected.―Medication‖is incorrect because the medication ordered will not change.
DIF:Cognitive Level: Applying (Application)TOP: Nursing Process: ImplementationMSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
The nurse has been monitoring the patient's progress on a new drug regimen since the first3.dose and documenting the patient's therapeutic response to the medication. Which phase ofthe nursing process do these actions illustrate?a.Human needs statementb.Planningc.Implementationd.EvaluationANS: DMonitoring thepatient's progress,including thepatient'sresponse to the medication, is part ofthe evaluation phase. Planning, implementation, and human needs statement are not illustratedby this example.
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