A nurse ascertains that the patient is showing signs and symptoms of dehydration due to nausea and vomiting. The nurse makes the patient NPO and calls the physician. The nursing action of making the patient NPO is

Questions 39

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ATI RN Test Bank

Client Centered Care Principles Questions

Question 1 of 5

A nurse ascertains that the patient is showing signs and symptoms of dehydration due to nausea and vomiting. The nurse makes the patient NPO and calls the physician. The nursing action of making the patient NPO is

Correct Answer: C

Rationale: Making the patient NPO is a decision based on clinical judgment to address dehydration.

Question 2 of 5

What is the primary goal of the planning phase of the nursing process?

Correct Answer: B

Rationale: The planning phase’s primary goal is to create a care plan directing nursing actions.

Question 3 of 5

A patient has had an appendectomy. He has an incision at the right lower quadrant of the abdomen. Nurse has written: Alteration in skin integrity related to incision at right lower quadrant of the abdomen. This is

Correct Answer: D

Rationale: This is a nursing diagnosis identifying an actual problem (altered skin integrity) related to the incision.

Question 4 of 5

Which of the following is a distinct nursing function in the nursing process?

Correct Answer: C

Rationale: Nursing diagnosis is uniquely nursing, distinguishing it from medical diagnosis.

Question 5 of 5

What term is used to describe the sense, usually at a subconscious level, of the movements and position of the body and especially its limbs, independent of vision?

Correct Answer: C

Rationale: Proprioception is the sense of body position and movement, independent of vision.

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