Answer Happy

APPLICATION OF THE NURSING PROCESS Directions: Provide the answers to the following questions. Scenario A: The nursing diagnosis on the nursing care plan states, "Pain due to surgical incision." Nursing interventions include the following: "Monitor PCA morphine effectiveness; reposition every 2 hours, pro- vide quiet environment and rest periods; offer distraction to minimize pain." The expected outcomes state, "Morphine will control pain effectively; patient says pain is not interfering with rest." What would be ap propriate evaluation data to determine that these expected outcomes are being met? Scenario B: Your home care patient who just had a knee replacement has considerable pain in the knee. The nursing care plan has a nursing diagnosis of Altered self-care ability due to knee pain. Write two expected outcomes for this problem relevant to this patient. a b. PRIORITY SETTING Directions: Read each scenario and prioritize the needs for these patients. Scenario A 1. Your patient has a complex health condition and as you are assessing the patient, you discover several problems. You realize that priorities of care are determined by a hierarchy of needs. Which problem has the highest level of need? a. Patient is vomiting and cannot retain meals, b. Blood pressure is elevated to 160/100 mm Hg c. Respiratory rate is 32 breaths per minute. d. Patient has not had a bowel movement in 3 days.