Which of the following reasons is the most important, as well as the most widely accepted, reason for nurses using nursing process?

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Question 1 of 5

Which of the following reasons is the most important, as well as the most widely accepted, reason for nurses using nursing process?

Correct Answer: C

Rationale: The nursing process's most important and widely accepted reason is facilitating communication with the healthcare team. This structured approach assessment, diagnosis, planning, implementation, evaluation creates a common language, ensuring physicians, therapists, and nurses align on client care. For example, documenting a client's respiratory distress via the process informs all team members, enhancing coordination. While it builds nursing knowledge, addresses health problems, and standardizes care, communication is the linchpin, enabling collaborative, effective interventions across disciplines.

Question 2 of 5

The nurse receives a report at the beginning of the shift and learns that the client scores 7 on the Glasgow Coma Scale. The nurse realizes that this client is at which of the following levels of consciousness?

Correct Answer: A

Rationale: A Glasgow Coma Scale score of 7 indicates coma minimal responsiveness below 8. Higher scores denote disability or alertness. Nurses assess this for neurological status.

Question 3 of 5

The nurse is taking the client's blood pressure. The physician asks for the pulse pressure. To obtain the pulse pressure, the nurse will have to do which of the following things?

Correct Answer: B

Rationale: Pulse pressure is systolic minus diastolic pressure, reflecting arterial force, not requiring machines or pulse rates. Nurses calculate this for cardiovascular insight.

Question 4 of 5

Which intervention is important for maintaining the safety of an immobile patient?

Correct Answer: D

Rationale: Implementing fall prevention measures is critical for an immobile patient's safety, involving tools like bed alarms, low beds, or assistance during transfers to mitigate risks in a controlled environment. Immobile patients can't walk independently, so promoting frequent movement isn't feasible and could increase danger. Physical or soft restraints, while sometimes considered, are last-resort options due to ethical and safety concerns, not primary safety strategies. Fall prevention directly addresses the vulnerability of those unable to reposition themselves, reducing injury risk a key nursing responsibility. This approach ensures a safe setting, balancing protection with patient dignity, and aligns with evidence-based practice to minimize harm in immobile populations.

Question 5 of 5

Which nursing intervention is essential to prevent pressure ulcers in a patient with limited mobility?

Correct Answer: A

Rationale: Frequent, thorough skin assessments are essential to prevent pressure ulcers in limited-mobility patients, catching early redness or breakdown for timely intervention. Petroleum jelly doesn't relieve pressure, air mattresses aid but aren't enough alone, and prolonged sitting increases risk. Nurses rely on this to monitor skin health, enabling prompt action like repositioning, crucial for preventing progression to ulcers in at-risk areas.

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