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A nurse has completed the planning step of the nursing process for a client who has an acid-base imbalance. Which of the following steps should the nurse take next?

A. Re-collection of data

Re-collection of data:This step involves gathering additional information or data about the client's condition. It may be necessary if there are new developments, changes in the client's status, or if the initial data collected was insufficient or inaccurate. Re-collection of data helps ensure that the nurse has comprehensive and accurate information to base the care plan on.

B. Implementation

Implementation:Implementation is the phase where the nurse puts the planned interventions into action. This step involves performing nursing actions, administering treatments or medications, providing education and support to the client and their family, and collaborating with other healthcare team members. The nurse follows the care plan developed during the planning phase to address the client's needs and achieve desired outcomes.

C. Evaluation

Evaluation:Evaluation is the final step of the nursing process where the nurse assesses the client's response to interventions and the effectiveness of the care provided. The nurse compares the client's actual outcomes with the expected outcomes identified during the planning phase. If the outcomes are met, the plan may continue as is or be modified for ongoing care. If the outcomes are not met, the nurse revises the plan as necessary to improve client outcomes.

D. Data Collection

Data Collection:Data collection is the initial step of the nursing process where the nurse gathers information about the client's health status, including physical, emotional, social, and environmental factors. This step involves conducting assessments, gathering medical history, reviewing laboratory and diagnostic tests, and obtaining information from the client and their family. Data collection forms the basis for identifying nursing diagnoses, developing care plans, and implementing appropriate interventions.

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Full Explanation

Explanation:

A. Re-collection of data:

This step involves gathering additional information or data about the client's condition. It may be necessary if there are new developments, changes in the client's status, or if the initial data collected was insufficient or inaccurate. Re-collection of data helps ensure that the nurse has comprehensive and accurate information to base the care plan on.

B. Implementation:

Implementation is the phase where the nurse puts the planned interventions into action. This step involves performing nursing actions, administering treatments or medications, providing education and support to the client and their family, and collaborating with other healthcare team members. The nurse follows the care plan developed during the planning phase to address the client's needs and achieve desired outcomes.

C. Evaluation:

Evaluation is the final step of the nursing process where the nurse assesses the client's response to interventions and the effectiveness of the care provided. The nurse compares the client's actual outcomes with the expected outcomes identified during the planning phase. If the outcomes are met, the plan may continue as is or be modified for ongoing care. If the outcomes are not met, the nurse revises the plan as necessary to improve client outcomes.

D. Data Collection:

Data collection is the initial step of the nursing process where the nurse gathers information about the client's health status, including physical, emotional, social, and environmental factors. This step involves conducting assessments, gathering medical history, reviewing laboratory and diagnostic tests, and obtaining information from the client and their family. Data collection forms the basis for identifying nursing diagnoses, developing care plans, and implementing appropriate interventions.


Similar Questions

QUESTION
A nurse is discussing the process of evidence-based practice (EBP) with a newly licensed nurse. Which of the following statements made by the newly licensed nurse indicates an understanding of the process?

A. "Reliance on personal experiences is important to the process of EBP."

"Reliance on personal experiences is important to the process of EBP."This statement is not accurate in the context of evidence-based practice (EBP). EBP emphasizes the use of the best available evidence from research, combined with clinical expertise and patient values and preferences. While personal experiences can provide context, they should not be the primary basis for decision-making in EBP.

B. "Identifying the problem is the first step of the EBP process."

"Identifying the problem is the first step of the EBP process."This statement is correct. The first step in the EBP process is identifying a clinical problem or question that requires evidence-based intervention or decision-making. This step involves clearly defining the issue and understanding its significance.

C. "Reviewing the effectiveness of the findings is the last step of the EBP process."

"Reviewing the effectiveness of the findings is the last step of the EBP process."This statement is not accurate. While evaluating the effectiveness of the chosen intervention or practice change is an essential component of EBP, it is not necessarily the last step. EBP involves an iterative process where findings are continuously evaluated, integrated into practice, and refined based on ongoing evidence and outcomes.

D. "There are four steps in the process of EBP."

"There are four steps in the process of EBP."This statement is not entirely accurate. While different models and frameworks may outline EBP in different steps or stages, it typically involves multiple steps that include formulating a clinical question, searching for evidence, critically appraising the evidence, applying the evidence to practice, and evaluating outcomes.

Full Explanation

Explanation:

A. "Reliance on personal experiences is important to the process of EBP."

This statement is not accurate in the context of evidence-based practice (EBP). EBP emphasizes the use of the best available evidence from research, combined with clinical expertise and patient values and preferences. While personal experiences can provide context, they should not be the primary basis for decision-making in EBP.

B. "Identifying the problem is the first step of the EBP process."

This statement is correct. The first step in the EBP process is identifying a clinical problem or question that requires evidence-based intervention or decision-making. This step involves clearly defining the issue and understanding its significance.

C. "Reviewing the effectiveness of the findings is the last step of the EBP process."

This statement is not accurate. While evaluating the effectiveness of the chosen intervention or practice change is an essential component of EBP, it is not necessarily the last step. EBP involves an iterative process where findings are continuously evaluated, integrated into practice, and refined based on ongoing evidence and outcomes.

D. "There are four steps in the process of EBP."

This statement is not entirely accurate. While different models and frameworks may outline EBP in different steps or stages, it typically involves multiple steps that include formulating a clinical question, searching for evidence, critically appraising the evidence, applying the evidence to practice, and evaluating outcomes.

QUESTION
A nurse is discussing the process of evidence-based practice (EBP). Which of the following sources should the nurse identify as being examples of credible sources of information? (Select All that Apply.)

A. Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) website

Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) website:This is a credible source for information related to women's health, obstetrics, and neonatal care. AWHONN is a reputable organization in the healthcare field, and their website likely provides evidence-based information and resources.

B. A pamphlet about hypoglycemia from the American Diabetes Association Cumulative Index of Nursing and Allied Health Literature (CINAHL) website

A pamphlet about hypoglycemia from the American Diabetes Association Cumulative Index of Nursing and Allied Health Literature (CINAHL) website:CINAHL is a reputable database for nursing and allied health literature. Pamphlets or articles from organizations like the American Diabetes Association are generally considered credible sources of information, especially when they are based on scientific evidence and research.

C. A magazine article about health care trends authored by a journalist

A magazine article about healthcare trends authored by a journalist:While magazine articles can sometimes provide valuable insights, they are generally not considered as credible as information from professional organizations, peer-reviewed journals, or government agencies. Journalists may not always have the same level of expertise or access to scientific research as healthcare professionals.

D. American Association of Critical Care Nurses (AACN) website

American Association of Critical Care Nurses (AACN) website:The AACN is a respected organization in critical care nursing, and their website is likely a credible source for information related to critical care nursing practices, guidelines, and research.

E. Agency for Healthcare Research and Quality (AHRQ) website

Agency for Healthcare Research and Quality (AHRQ) website:The AHRQ is a federal agency that conducts research and provides evidence-based information and guidelines related to healthcare quality, safety, and effectiveness. Their website is considered a highly credible source for healthcare information.

Full Explanation

Explanation:

A. Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) website:

This is a credible source for information related to women's health, obstetrics, and neonatal care. AWHONN is a reputable organization in the healthcare field, and their website likely provides evidence-based information and resources.

B. A pamphlet about hypoglycemia from the American Diabetes Association Cumulative Index of Nursing and Allied Health Literature (CINAHL) website:

CINAHL is a reputable database for nursing and allied health literature. Pamphlets or articles from organizations like the American Diabetes Association are generally considered credible sources of information, especially when they are based on scientific evidence and research.

C. A magazine article about healthcare trends authored by a journalist:

While magazine articles can sometimes provide valuable insights, they are generally not considered as credible as information from professional organizations, peer-reviewed journals, or government agencies. Journalists may not always have the same level of expertise or access to scientific research as healthcare professionals.

D. American Association of Critical Care Nurses (AACN) website:

The AACN is a respected organization in critical care nursing, and their website is likely a credible source for information related to critical care nursing practices, guidelines, and research.

E. Agency for Healthcare Research and Quality (AHRQ) website:

The AHRQ is a federal agency that conducts research and provides evidence-based information and guidelines related to healthcare quality, safety, and effectiveness. Their website is considered a highly credible source for healthcare information.

QUESTION

A nurse is preparing to administer amoxicillin 300 mg PO. The amount available is amoxicillin oral solution 250 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Full Explanation

Explanation:

To calculate the correct dosage of amoxicillin oral solution, the nurse needs to use the formula: (desired dose ÷ available dose) × available volume.

For this scenario, the desired dose is 300 mg, and the available dose is 250 mg in 5 mL.

Using the formula, the calculation would be: (300 mg ÷ 250 mg) × 5 mL = 1.2 × 5 mL = 6 mL.

Therefore, the nurse should administer 6 mL of the amoxicillin oral solution to deliver a dose of 300 mg.