Fairly easy

During evaluation, a patient remains short of breath despite the planned positioning and prescribed treatment. What should the nurse do next?

Correct answer: B. Reassess the patient and revise the plan if needed

  • A. Continue the same plan without further assessment
  • B. Reassess the patient and revise the plan if needed
  • C. Mark the outcome as achieved because treatment was given
  • D. Remove the nursing diagnosis from the care plan

Explanation

Evaluation compares the patient's actual response with the expected outcome and leads to reassessment and revision when progress is inadequate. Giving an intervention does not prove that the outcome was achieved.

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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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