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1. Counts respiratory rate and observes respiratory effort; auscultates lung fields.

2. Collaborates with RN to make diagnosis of Ineffective breathing pattern related to positioning that prevents lung expansion.

3. Identifies outcome of "patient will demonstrate respiratory rate of 12-20 breaths/min after being positioned in high Fowler's."

4. Assist RN to develop a plan of care that will improve the patient's ability to breathe and expand lungs.

5. Assists to high Fowler's position or assists to sit in the bedside chair.

6. Checks oxygen saturation and asks patient about subjective feelings of relief after being repositioned.

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Which best describes the diagnosis step of the nursing process?

The nurse gathers patient data through observation, interviews, and physical assessment.

The nurse analyzes, validates, and clusters patient data to identify patient problems. Patient data clusters are stated in standardized language, which provides clarity and universal understanding by all health care providers.

The nurse prioritizes the nursing diagnoses and identifies goals that are realistic, measurable, and patient-focused with specific outcomes.

The nurse initiates specific nursing interventions and treatments designed to help the patient achieve established goals and outcomes.

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Which is the correct order for the steps of the nursing process?

The nursing process functions as a systematic guide to client-centered care with 5 sequential steps. These are assessment, diagnosis, planning, implementation, and evaluation.

What is the most important part of the nursing process?

Diagnosis. This phase in the nursing process is one of the most important. We must consider all external factors of the patient (environmental, socioeconomic, and physiological etc.) when developing a diagnosis, which can be challenging at times.

Which questions would the nurse ask to evaluate the effectiveness of nursing interventions?

What questions should the nurse ask when evaluating the effectiveness of nursing interventions? Did the patient meet the goals established during the planning phase? Should the plan of care be discontinued? Does the care plan need to be modified in response to patient changes?

During which step of the nursing process does the nurse select nursing diagnoses quizlet?

During the planning step of the nursing process, the nurse prioritizes the Nursing diagnoses and identifies short- and long-term goals that are realistic, measurable, and patient focused, with specific outcome identification for evaluation purposes.