Exam 15: Implementing and Evaluating

A new graduate nurse was working with a nurse mentor during the first three months of employment. On one of the first days working alone, the graduate nurse is assigned to care for a client with a new tracheostomy and must provide teaching to the client as well as the client's spouse. This nurse is not familiar with the teaching aspect. The best action for the nurse is to:

During the process of implementing cares and treatments for a client, the nurse realises there are several processes included in the phase.

A nurse is working on a medical unit and assigns an unregulated nursing assistant to take vital signs for several clients. The nursing assistant completes this task and documents them accordingly. One of the clients had a blood pressure reading of 180/110, and it wasn't until the end of the shift that the nurse realised this value. The doctor was notified and orders were received for treatment, but not until much later in the shift. Which of the two responsibilities of delegation did the nurse fail to carry out?

A nursing student does not understand the difference between evaluation and assessment - both are ongoing and both are areas of data collection. In order to differentiate between the two, the student should remember that:

The student nurse must accurately perform a sterile dressing change before completing a unit of the course. This student is being evaluated on which of the following?

The home health nurse must devise a way to administer IV antibiotics to a client who insists on being outside during the infusion. Using creativity and critical thinking, the nurse is able to meet the client's requests. This is an example of which of the following?

The implementing phase of the nursing process includes:

A client is struggling to learn how to care for a new colostomy. The nurse is following the written care plan and has selected to provide written information along with a demonstration on how to accurately measure the stoma for attaching the appliance. Upon entering the room, the client is crying along with the client's spouse. The nurse decides to sit with both of them, offering presence and listening to their fears instead of the planned education. This is an example of which of the following?