Practice Question
The nurse just completed an assessment on a client who is being admitted with a medical diagnosis of pneumonia. Which of the following is an example of the Nursing Process stage of planning?
Answer Choices:
Correct Answer:
The client will use the incentive spirometer, cough & deep breaths every 2 hours while awake
Rationale:
🔹 “The client will use the incentive spirometer, cough & deep breaths every 2 hours” is a specific, measurable, and time-bound goal, reflecting the planning stage.
🔹 Checking with the client after acetaminophen is part of evaluation, assessing if interventions were effective.
🔹 Taking vital signs every 4 hours is part of implementation or assessment, not planning.
🔹 Administering ciprofloxacin is an implementation action, carrying out the plan of care.
🔹 Planning ensures that nursing interventions are purposeful and goal-oriented to achieve optimal client outcomes.
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This question is from ☑️ NUR 200 FINAL EXAM SU25 (COL) which contains 70 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Fundamentals
- Answer Choices: 4