Nursing Process Practice Questions

Correct Answer: B

Rationale: Step 1: Antibiotics are prescribed to treat urethritis, indicating a bacterial infection in the urinary tract. Step 2: Increasing water intake (2-3 L daily) promotes renal blood flow, dilutes urine, and helps flush out bacteria from the urinary tract, aiding in the elimination of infection. Step 3: Adequate hydration helps prevent the formation of concentrated urine, reducing the risk of recurrent urinary tract infections. Step 4: Therefore, choice B is correct as it directly addresses the underlying cause of the client's symptoms. Summary: Choices A, C, and D are incorrect as they do not directly target the bacterial infection causing the urinary discomfort. Drinking water will not specifically help with incontinence, eliminate odors, or provide pain relief.

Correct Answer: B

Rationale: The correct answer is B because monitoring the site and progress of the infusion every hour is crucial to prevent complications like infiltration or infection in clients with hypertension. Choice A is incorrect as checking BP every hour is excessive. Choice C is incorrect as daily monitoring may not detect issues promptly. Choice D is incorrect as pulse rate monitoring is not directly related to IV fluid administration in this context. Monitoring the site and progress hourly ensures timely intervention if any issues arise.

Correct Answer: B

Rationale: The correct answer is B: Focus on the patient's presenting situation. This is the first step in the problem-oriented approach as it helps the nurse understand the immediate issues and prioritize data collection. By focusing on the presenting situation, the nurse can gather relevant information efficiently. A: Completing questions in chronological order may not address the current problem effectively. C: Making accurate interpretations of the data comes after data collection, not as the first step. D: Conducting an observational overview is important but typically follows focusing on the presenting situation to guide what observations are necessary.

Correct Answer: B

Rationale: The correct answer is B: Focus on the patient�s presenting situation. In the problem-oriented approach, the nurse prioritizes the patient's immediate concerns to address them effectively. By focusing on the presenting situation first, the nurse can gather relevant data and identify key issues. This step ensures that the nurse addresses the most pressing problems promptly. A: Completing questions in chronological order may not be necessary and could delay addressing the immediate concern. C: Making accurate interpretations of data should come after gathering relevant information about the presenting situation. D: Conducting an observational overview is important but should come after focusing on the patient's presenting situation to gather specific data.

Correct Answer: A

Rationale: The correct answer is A: The nurse should practice interviewing strategies. This is the best remedy because improving the nurse's ability to gather comprehensive information during client history will ensure sufficient data for planning interventions. By practicing interviewing strategies, the nurse can learn to ask relevant questions, actively listen, and probe for additional details. Summary: B: Modifying the data collection tool may not address the issue of insufficient information if the problem lies with how the nurse conducts the interview. C: Determining the specific purpose of data collection is important but may not solve the immediate issue of lacking information for intervention planning. D: Updating the database is irrelevant to the problem of inadequate data collection during client history.