Fairly easy

A nurse is about to implement a repositioning plan for a patient at risk for pressure injury. Which action should occur immediately before the intervention?

Correct answer: A. Check the patient's current condition and explain the procedure

  • A. Check the patient's current condition and explain the procedure
  • B. Document that the expected outcome has already been achieved
  • C. Replace the nursing diagnosis with a medical diagnosis
  • D. Ask the patient to develop a new care plan independently

Explanation

Before implementation, the nurse reassesses the patient's current condition and explains the planned care. This confirms that the intervention remains appropriate and promotes informed cooperation and safety.

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About Nursing Process and Health Assessment

Assessment gathers subjective and objective data through health history, physical examination and observation. The nursing process then uses nursing diagnoses, planning, implementation and evaluation to provide individualised care, while distinguishing a nursing diagnosis from a medical diagnosis and identifying priorities such as airway, breathing, circulation and safety.

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