Which of the following is true about the NURSING CARE PLAN?

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LPN Nursing Fundamentals Quizlet Questions

Question 1 of 5

Which of the following is true about the NURSING CARE PLAN?

Correct Answer: A

Rationale: Nursing care plans are nurse-centered designed to address patient needs e.g., managing pain. Rationales justify interventions (not vice versa), they're written, and goals vary (not fixed). This nurse-driven tool, per NANDA, ensures systematic, patient-focused care delivery.

Question 2 of 5

Which of the following is TRUE about the auscultation of blood pressure?

Correct Answer: B

Rationale: The stethoscope bell auscultates low-frequency Korotkoff sounds e.g., tapping unlike diaphragm (high). Pulse +4 (bounding), +1 (weak), sound pitch (low) differ. Nurses use this e.g., bell for clarity, per technique.

Question 3 of 5

Which of the following is not a normal component of the urine?

Correct Answer: D

Rationale: Sugar isn't normal in urine e.g., glucosuria signals diabetes unlike urea (waste), sodium, potassium (electrolytes). Nurses test e.g., dipstick for abnormalities, per physiology.

Question 4 of 5

The following hormones are secreted by the adrenal glands except

Correct Answer: D

Rationale: Adrenals secrete cortisol, aldosterone, adrenaline e.g., stress, BP, fight-flight unlike insulin (pancreas). Nurses know e.g., Addison's for roles, per physiology.

Question 5 of 5

A parent has brought a 6-year-old child into the clinic. The parent is concerned that the child does not seem to skip as well as the other children in the child's class. In planning assessments and care for this child, the nurse would be best served by choosing which theory as a foundation for decision making?

Correct Answer: D

Rationale: For a 6-year-old with potential motor skill concerns, developmental theory provides the best framework, focusing on predictable growth stages across physical, cognitive, and psychosocial domains. Rooted in works like Piaget's or Erikson's, it assesses whether the child's skipping ability aligns with age-expected milestones, guiding the nurse to evaluate coordination, strength, or neurological issues. General systems theory examines part-whole interactions, like family impact, but lacks stage-specific focus. Nursing theory broadly directs care outcomes, not developmental norms. Adaptation theory addresses environmental adjustments, less relevant here. Developmental theory's emphasis on maturation enables the nurse to compare the child's skills to peers, plan targeted assessments (e.g., motor tests), and tailor interventions like physical therapy referrals ensuring care addresses the parent's concern within a child's growth context.

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