Atipharmacologyproctoredexam (Detail Solutions)

ATI PHARMACOLOGY PROCTORED EXAM(Detail Solutions)1. Which action should the nurse take first during the initial phase ofimplementation?a. Determine patient outcomes and goals.b. Prioritize patients nursing diagnoses.c. Evaluate interventions.d. Reassess the patient.ANS: DAssessment is a continuous process that occurs each time the nurse interactswith a patient. During the initial phase of implementation, reassess the patient.Determining the patients goals and prioritizing diagnoses take place in theplanning phase before choosing interventions. Evaluation is the last step of thenursing process.2. Vital signs for a patient reveal a high blood pressure of 187/100. Ordersstate to notify the health care provider for diastolic blood pressure greater than90. What is the nurses first action?a. Follow the clinical protocol for a stroke.b. Review the most recent lab results for the patients potassium level. Assessthe patient for other symptoms or problems, and then notify thec. health care provider.Administer an antihypertensive medication from the stock supply, andd. then notify the health care provider.ANS: CCommunication to other health care professionals must be timely, accurate, andrelevant to a patients clinical situation. The best answer is to reassess the patient for other symptoms or problems, and then notify the health care provider according to the orders. Reviewing the potassium level does not address