A walk-in client enters into the clinic with a chief complaint of abdominal pain and diarrhea. The nurse takes the client's vital signs hereafter. What phase of nursing process is being implemented here by the nurse?

Correct Answer: A

Rationale: The nursing process is a systematic approach to client care, beginning with assessment (A), which involves collecting data about the client's health status. Taking vital signs after a client reports abdominal pain and diarrhea is a clear example of assessment, as it gathers objective physiological data (e.g., temperature, pulse, blood pressure) to evaluate the client's condition. Diagnosis (B) follows assessment and involves analyzing data to identify health problems, which has not yet occurred here. Planning (C) entails setting goals and interventions based on the diagnosis, while implementation (D) is the execution of those interventions neither of which apply to simply taking vital signs. This initial data collection is foundational to understanding the client's condition, guiding subsequent steps, and ensuring accurate care, making A the correct phase in this scenario.

Correct Answer: B

Rationale: DNR means no CPR (B), per its definition resuscitation is withheld if the heart stops. Food/medications (A) continue, it's not about recovery hope (C), and DNR can be revoked (D). B accurately reflects DNR's scope, aligning with legal/ethical practice, making it true.

Correct Answer: A

Rationale: Removing jewelry and giving it to family (A) is true standard post-mortem care, per protocol. Plastic wrapping (B) isn't typical, flexed position (C) contradicts supine norm, hot water (D) risks damage. A ensures proper handling, making it correct.

Correct Answer: C

Rationale: Informed consent needs voluntariness (A), information (B), and competence (D), per legal standards not family approval (C). Family isn't required unless the client's incompetent. C's extra mandate misaligns, making it the non-requirement.

Correct Answer: B

Rationale: Advocacy is protecting client rights (B), per nursing role e.g., voicing needs. Orders (A), nurse-good (C), ignoring wishes (D) oppose it. B best defines advocacy's client focus, making it correct.