Question

36. A nurse is caring for a patient whose plan of care includes the statement monitor intake and output every four hours’ what type of statement is this? A. Outcome B. Evaluation C. Assessment D. Intervention

Answer 1

MONITORING INTAKE OUTPUT EVERY FOURTH HOURLY COMES UNDER ASSESSMENT , BY MONITORING THIS WE CAN ASSESS HOW WELL PATIENTS ELIMINATION STATUS WORKS AND PLAN THE CARE

NURSING PROCESS

Nursing process  is the set of organized actions which are used by a nurse to resolve identified nursing diagnosis through nursing assessment and application of suitable interventions and finally it is completed by the evaluation of the patient condition.

STEPS OF NURSING PROCESS

• ASSESSMENT
• DIAGNOSIS
• PLANNING
• IMPLEMENTATION
• EVALUATION

NURSING ASSESSMENT

• It is the first step of nursing process .
• In this phase the nurse gathers information about the physiological ,psychological ,social and spiritual state of the patient through patient interview ,physical examination ,obtaining family history and general observation .

NURSING DIAGNOSIS

• During the diagnosis phase nurse creates diagnosis according to the potential and actual health problem of the patient
• It is not just an actual description of problem but also an identification of risks of developing further problems
• It is a critical step in nursing process because it determine the course of treatment

NURSING PLANNING

• After identification of the nursing diagnosis the nurse plannes a set of action according to priority
• Each problem is assigned a clear ,measurable goal for expected beneficial outcome

NURSING IMPLEMENTATION

• In this phase nurse followes the decided plan of action which is specific each patient and focuses on achievable outcomes these includes monitoring the patient for signs of improvement direct care for patient ,performing necessary medical task, educating and instructing patient about further health care management and follow up

NURSING EVALUATION

• After performing all the nursing interventions nurse conduct an evaluation to analyze wheather the identified goals for patients wellness have been met
• If the goals where not met nurse will plan another set of health care action and improve the nursing care