What guidelines do nurses follow to identify the client’s health care needs and strengths, to establish and carry out a plan of care to meet those needs, and to evaluate the effectiveness of the plan to meet established outcomes?

Upon initial assessment of a client, what information would the nurse determine is the priority for care?

Identify which of the following sources of data are primary or secondary in the assessment process.

The nurse placed a client in restraints because of behaviors that interfered with the client’s treatment. What is the nurse’s next action after initiating the restraints?

Determine if the following information is subjective or objective assessment data.

The nurse has formulated the following diagnosis: Activity intolerance, related to weakness and debilitation, manifested by reports of fatigue after any physical activity. What is the etiology of this diagnosis?

A client, being discharged after a myocardial infarction, has been prescribed several new medications and a low-fat diet. The client states: “I’m never going to understand what to do, when to do it, and why I should be doing all these things.” The nurse formulates which of the following diagnoses for this client’s situation?

A study was conducted to determine if the growth rate of babies differs between babies that are bottle-fed and babies that are breast-fed. In this experiment, growth rate is referred to as the      

A registered nurse delegates the task of tracheostomy suctioning of a client to the LPN. The LPN informs the nurse that she has never performed the procedure on a client. What would be the most appropriate response from the registered nurse?

Quiz-2.pdf