During the planning step of the nursing process, the nurse performs which activity?

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Introduction to Professional Nursing Quizlet Questions

Question 1 of 5

During the planning step of the nursing process, the nurse performs which activity?

Correct Answer: B

Rationale: During the planning step of the nursing process, the nurse develops goals of care to address the patient's needs identified during data collection and analysis. This step involves setting specific, measurable, achievable, relevant, and time-bound objectives to guide the care provided. Developing goals of care ensures that the care plan is individualized, patient-centered, and focused on achieving positive outcomes for the patient. Recording data (A) is part of the assessment phase, collecting data (C) is part of the assessment phase, and carrying out interventions (D) is part of the implementation phase of the nursing process, not the planning phase.

Question 2 of 5

The nurse measures a client's temperature at 102° F. What is the equivalent Centigrade temperature?

Correct Answer: C

Rationale: The correct answer is C (38.9° C) because to convert Fahrenheit to Celsius, you subtract 32 from the Fahrenheit temperature and then multiply by 5/9. So, 102°F - 32 = 70, and 70 x 5/9 = 38.9°C. Choice A (39°C) is close but not exact. Choice B (47°C) and D (40.1°C) are significantly off and do not follow the correct conversion formula.

Question 3 of 5

The nurse must know that the most accurate oxygen delivery system available is:

Correct Answer: A

Rationale: The correct answer is A: The venturi mask. This is the most accurate oxygen delivery system because it allows for precise oxygen concentration adjustment. The venturi mask delivers a specific oxygen concentration by mixing oxygen with room air through a system of valves and ports. This ensures a consistent and accurate oxygen delivery to the patient. Nasal cannula (B) delivers low to medium oxygen concentrations and is less accurate. Partial non-rebreather mask (C) and simple face mask (D) deliver higher oxygen concentrations but are not as precise as the venturi mask.

Question 4 of 5

As the nurse is speaking with a group of teens which of these side effects of chemotherapy for cancer would the nurse expect this group to be more interested in during the discussion?

Correct Answer: D

Rationale: The correct answer is D: Hair loss. Teens are often very concerned about their appearance, so hair loss would likely be the side effect of chemotherapy that they are most interested in. The sudden change in physical appearance can have a significant impact on their self-esteem and body image. Additionally, hair loss is a visible side effect that can make the cancer treatment more real and tangible for them. Mouth sores (A), fatigue (B), and diarrhea (C) are also common side effects of chemotherapy, but they may not be as visually impactful or emotionally distressing for teenagers as hair loss.

Question 5 of 5

While suctioning the endotracheal tube, the nurse should:

Correct Answer: B

Rationale: The correct answer is B because hyperoxygenating the client with 100% oxygen before and after suctioning helps prevent hypoxemia by providing adequate oxygenation and minimizing the risk of hypoxia during the suctioning procedure. This step is crucial in maintaining oxygen levels and preventing complications. A: Applying suction while inserting the catheter can cause trauma to the airway and increase the risk of hypoxemia. C: Using short jabbing movements can also cause trauma to the airway and is not recommended as it can lead to mucosal damage. D: Suctioning two to three times in quick succession can be harmful as it can cause hypoxemia and should be avoided to prevent complications.

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