Asked by Ellen Peters on Jun 12, 2024
Verified
A nurse notices that there is a new area of skin breakdown near the site of a client's dressing.It appears to be caused from the tape used to secure the dressing.This would be an example of which phase of the nursing process?
A) Assessment
B) Diagnosis
C) Implementation
D) Evaluation
Skin Breakdown
The deterioration of skin integrity, usually caused by prolonged pressure, moisture, friction, or shearing forces leading to wounds or ulcers.
- Recognize and execute the stages of the nursing process: evaluation, diagnosing, strategizing, executing, and appraising.
Verified Answer
DC
DANIEL CASTROJun 15, 2024
Final Answer :
A
Explanation :
The nurse is observing and gathering information about a new area of skin breakdown near the site of the client's dressing. This is part of the assessment phase of the nursing process, which involves collecting data and identifying any potential problems or risks. The other phases include diagnosis, which involves analyzing the data to identify the client's health problems or needs; implementation, which involves taking action based on the diagnosis; and evaluation, which involves determining whether the interventions have been effective.
Learning Objectives
- Recognize and execute the stages of the nursing process: evaluation, diagnosing, strategizing, executing, and appraising.
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