Correct Answer: B

Rationale: The correct answer is B because evaluative measures in nursing refer to the assessment data used to determine if patients have achieved their expected outcomes and goals. This is crucial in evaluating the effectiveness of the care provided.


Choice A is incorrect because it defines evaluative measures as multiple-page documents, which is not accurate.
Choice C is incorrect as it focuses on the progression of a nurse's skill level rather than patient outcomes.
Choice D is incorrect as it defines evaluative measures as objective views of completing nursing interventions, which is too narrow of a definition.

Correct Answer: C

Rationale: The correct answer is C: Time-lapsed assessment. This type of assessment involves comparing baseline data with new data collected at a later time to evaluate changes in the client's condition. In this scenario, the nurse is reassessing the client a month later to determine if there have been any changes that require adjustments to the care plan.

A: Comprehensive assessment is an in-depth assessment done initially to gather detailed information about the client's overall health status.
B: Focused assessment is done to gather specific information related to a particular problem or issue.
D: Emergency assessment is performed in urgent situations to quickly identify and address life-threatening conditions.

Correct Answer: B

Rationale: The correct answer is B. First, reviewing lab results for potassium level is important in assessing potential electrolyte imbalances that may contribute to the patient's symptoms. This allows for a comprehensive understanding of the patient's condition. Assessing the patient for other symptoms or problems is crucial to gather additional information. Finally, notifying the healthcare provider ensures timely communication and collaboration for appropriate care.
Choice A is incorrect as following a clinical protocol for a stroke is premature without a comprehensive assessment.
Choice C is incorrect as administering medication without a thorough assessment and provider notification can be dangerous.
Choice D is incorrect as notifying the healthcare provider should precede administering any medication.

Correct Answer: A

Rationale: The correct answer is A: RBC fragments. In idiopathic autoimmune hemolytic anemia, the immune system attacks and destroys red blood cells, leading to hemolysis. The presence of RBC fragments in the blood smear confirms this diagnosis as it indicates mechanical damage to RBCs.

Explanation:
1. RBC fragments (schistocytes) are a hallmark of hemolysis, seen in conditions like autoimmune hemolytic anemia.
2. Microcytic, hypochromic RBCs (
Choice
B) are typically seen in iron deficiency anemia, not autoimmune hemolytic anemia.
3. Macrocytic, normochromic RBCs (
Choice
C) are characteristic of megaloblastic anemias like vitamin B12 deficiency, not autoimmune hemolytic anemia.
4. Hemoglobin molecules (
Choice
D) are not directly indicative of autoimmune hemolytic anemia; the presence of free hemoglobin in the blood would suggest intrav

Correct Answer: D

Rationale: The correct answer is D. Parkinson's disease is characterized by bradykinesia, tremor, and muscle rigidity. Bradykinesia refers to slowness of movement, tremor involves involuntary shaking, and muscle rigidity causes stiffness and resistance to movement. These three symptoms are commonly known as the classic triad of Parkinson's disease.
Therefore, selecting "All of the above" (
D) is the correct choice as it encompasses all the key features of Parkinson's disease.

Choices A, B, and C individually are incorrect because they do not fully capture the comprehensive presentation of symptoms in Parkinson's disease.