Exam 7: Implementation Evaluation

The nurse reviews a patient's chart and sees a physician's prescription for a new medication. The nurse is able to clearly read the medication name, but the dose is not legible. Which is the best action by the nurse?

The nurse reviews a nursing order for a patient who is 4 days postoperative after hip surgery, which reads: Assist patient in bathing each morning. The nurse assesses the patient and notes the patient demonstrates the ability to bathe independently. Which action does the nurse do next?

A second-year nursing student is in a clinical rotation on a medical-surgical unit. Which is the most appropriate strategy for the student to use to assist with organizing and prioritizing patient care for the day?

A psychiatrist prescribes oral aripiprazole 10 mg daily for a client with schizophrenia. This medication is unfamiliar to the nurse, who cannot find it in the hospital formulary or other references. In which manner does the nurse proceed?

After gathering and analyzing data and identifying patient needs, the nurse begins the implementation phase of developing a plan of care. Which is the best example of the implementation phase of the nursing process?

The nurse is delegating patient care to a nursing assistive personnel (NAP) with whom the nurse has worked before. The nurse provides exact details of which patient, what tasks, what time period, and what feedback is expected; the NAP has no questions. Which responsibility does the nurse retain after completing the delegation assignment?

The nurse creates a plan of care for a patient diagnosed with severe dehydration. One nursing goal reads, "Patient will maintain urine output of at least 30 mL/hour." Which time frame will the nurse use to collect evaluation data for this expected outcome?

The nurse is assigned to participate in a structure evaluation for an acute care facility. Which response on the nurse's structure evaluation form indicates the nurse understood the criteria related to the task?

Which statement by the registered nurse (RN) best demonstrates clear communication to nursing assistive personnel (NAP) about a delegated task?

The nurse is providing care to a client admitted with pressure injuries. The nurse develops a plan of care focusing on healing measures and prevention of further injury. Which task does the nurse delegate to the nursing assistive personnel (NAP)?

Before inserting a nasogastric tube, the nurse reassures the client. Reassuring the client requires which type of nursing skill?

The nurse is providing care for various patients with the assistance of a licensed practical nurse/licensed vocational nurse (LPN/LVN). Which tasks does the nurse delegate to the LPN/LVN? Select all that apply.

The nurse works with the respiratory therapist to administer a patient's breathing treatments. The therapist reports the patient's breathing status and tolerance of the treatment to the primary care provider. The nurse then discusses with the patient the options for further treatment. Which type of implementation process is being used?

The nurse is providing care for a client newly diagnosed with type 2 diabetes mellitus. Which intervention by the nurse best promotes client cooperation with the treatment plan?

The nurse works in an acute care facility, which implements team nursing with each team consisting of members from various levels of healthcare provision. Which statement accurately describes delegation in the nurse's work environment?

The nurse receives a postsurgical patient who is prescribed to have vital signs taken every 15 minutes for 2 hours. Which type of client-centered evaluation does the nurse recognize?

The certified nursing assistant (CNA) is feeding a patient and notices that the patient is having difficulty swallowing. The CNA reports the observation to the primary registered nurse. Which action does the nurse take first?

The nurse is providing care for a patient after abdominal surgery and has just completed a prescribed dressing change. Which activities does the nurse perform soon after this task completed? Select all that apply.

The nurse and the nursing assistive personnel (NAP) are providing care for various clients on a medical-surgical unit. For which clients can the nurse delegate to the NAP the task of bathing? Select all that apply.

Which nursing activity is most reflective of the evaluation phase of the nursing process?