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    Ati lpn 112 med surg proctored exam (urinary)
    Select All That Apply

    A nurse is assisting with the admission of several clients. A charge nurse is assisting a newly licensed nurse with the admission of two clients. The charge nurse is discussing the nursing process with the newly licensed nurse. Which of the following information should the nurse include? Select all that apply.

    Explanation & Rationale

    A. Planning should be initiated upon admission: Planning is a key step in the nursing process that begins after data collection during admission. It involves setting goals, identifying interventions, and creating a plan tailored to the client’s needs, preferences, and priorities. B. Recognizing cues occurs during the evaluation process: Recognizing cues is part of the assessment and analysis phase, not evaluation. Evaluation occurs after interventions are implemented to determine if desired outcomes have been achieved. C. Prioritizing hypothesis allows the nurse to determine immediate care needs: After collecting and analyzing data, prioritizing nursing diagnoses or hypotheses helps the nurse focus on the client’s most urgent needs first. This ensures safe, effective, and timely care. D. Nursing interventions require a prescription prior to taking action: Many nursing interventions, such as education, repositioning, or monitoring, are independent and do not require a provider prescription. Only dependent interventions, like medication administration, require a prescription. E. Determining the client's knowledge regarding relapse prevention is part of collection: Assessing the client’s understanding of relapse prevention is part of the assessment phase. Gathering this information helps the nurse develop an individualized plan that addresses educational needs and supports recovery.

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