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BSN 3 C
1. Assessment begins with initial patient contact. Which nursing activity is included
during this component of nursing process?
Answer: The nursing assessment incudes gathering of information about the client’s
individual physiological and psychological needs. Interviewing, physical examination,
and obtaining the patient’’s history are some of the nursing activities that is included
during this process. This nursing activities will provide a baseline to form a diagnosis
that is appropriate with the client’s condition.
2. A patient needs t lose weight. Which outcome is most attainable and realistic?
Answer: The most attainable ad realistic outcome when a patient needs to lose weight
is “Patient will lose 1 lb to 2 lbs each week until weight is within normal range”.
There are also factors that should be considered eg, the BMI of the client. This is a
measurable and patient centered goal that is realistic.
3. Nurse identifies that a px is unable to identify the correct number of oral medicine
take each morning. Which step of the nursing process does this problem involve?
Answer: Implementation, the nurse is already carrying out the plan of care by giving
the necessary medications. Implementation is still an ongoing assessment and usually
some problems can be identify during this phase. When it comes to that, there will be
revisions of plan of care to the client until all the necessary goals and objective are
met.
5. With the advent of technology and the hype in social media, how can nurses promote
health facts and counter misinformation and disinformation?
Answer: Nurses have an important role in helping patients, families, and
communities access credible, trusted health information. With the hype of social
media many disinformation are spreading an example of this are the misinformation
about the covid 19 crisis. As a nurse this is a great opportunity to use the social media
as a medium to provide a trustable information based on scientific facts.
7. Get the BMI of one of your family members. From the BMI result, give at least three
nursing interventions that you will perform. Provide rationale in each interventions.
8. How doo cultural factors affect nursing care plan? Cite examples where diet and other
procedures are given considerations for Jehovah’s witness clients.
Answer: One of the procedures that is always a dilemma of the doctors and nurses to
a Jehovah’s witness clients are the of blood transfusion.The culture of their religion is
the sensitivity of performing blood transfusion which can hinder the ongoing medical
procedure that can put the client at risk. As a nurse we should respect their culture of
religion and autonomy when choosing blood fractions.
9. Nurse is caring for a patient whose BMI is 32. Based on this assessment finding, what
should the nurse do first?
Answer: The first thing to do after finding out the BMI of 32 is to assess the client’s
risk for obesity related complications like High blood pressure, Type 2 diabetes,
Coronary heart disease etc. This serious complications are more likely to develop to a
client with obesity. This will provide a more concrete information on to what is the
best medical interventions to use in treating the client.
10. Nurse attends for a client who suspect for Kwashiorkor, what interventions are you to
include in home plan to improve his nutrition. Rationalize your answer.
Answer: Make a dietary nutrition plan for the client and encourage the client to eat
protein rich foods and more calories. Kwashiorkor can be corrected as long as it is
diagnosed as early as possible. Treatment involves slow increases in calories from
carbohydrates, sugars, and fats, followed by protein rich food. Adequate diet is
important to a client with Kwashiorkor along with frequent assessment of growth and
development, monitoring of any complications until the presence of Kwashiorkor is
reduced or absent.