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After Completing the Initial Head-To-Toe Shift Assessment, the Nurse Determines

Question 15

Multiple Choice

After completing the initial head-to-toe shift assessment, the nurse determines that no changes are needed in the client's plan of care.Which evaluation process supports the nurse's decision?


A) Using the knowledge that the client received a comprehensive health assessment
B) Reviewing the effectiveness of previously initiated nursing interventions
C) Referring to the facility's general plan of client care for the current shift
D) Recognizing that the client may be discharged from the hospital during this shift

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