Missing options:
A. "During the evaluation phase,the nurse reassesses the patient's urination pattern."
B. "During the evaluation phase, the nurse asks the patient if expectations are being met."
C. "During the evaluation phase, the nurse explains the procedure and the importance of the catheter to the patient."
D. "During the evaluation phase, the nurse asks the patient about any permanent change in elimination
Answer:
C. "During the evaluation phase, the nurse explains the procedure and the importance of the catheter to the patient."
Explanation:
During the planning phase (not the evaluation phase) of the nursing process which refers to the process by which healthcare professionals and patients discuss, agree, and review an action plan to achieve the goals or behaviour change of most relevance to the patient, the nurse explains the surgical procedure and the importance of the catheter to the patient.
During the evaluation phase, which is the final step of the nursing process, is crucial to determine whether the patient's condition has improved or not in order to check effectiveness of nurse care
In this particular case the nurse should reassesses the patient's urination pattern, asks the patient if the expectations are being met, and asks the patient about any permanent change in elimination. She shouldn't be explaining the procedure and the importance of the catheter to the patient. So in conclusion the nurse trainee needs further education.
