Question that I need help with

The question is this: A nurse is caring for a client that has just returned from surgery. What must take place before modification of the nursing care plan can occur? a. Evaluation of the previous nursing care plan b. Revision of the client goals c. complete reassessment d. formulation of new nursing diagnosis I am undecided between a and b. Please give words of wisdom. Thanks

C. Previous are plans and revising goals don't matter anymore. They have had surgery so things may be completely different than before surgery. The first thing you would do with a patient returning from surgery is assessment, including VS.

I also think revision of goals may work. Hmmmm......... Hate these questions.

Scratch that. The question asks you what must take place BEFORE modification of the care plan and that could only be assessment. The other answers don't work with the way the question is worded.

Scratch that. The question asks you what must take place BEFORE modification of the care plan and that could only be assessment. The other answers don't work with the way the question is worded.

Even I it didn't say before, how can you modify a care plan without reassessing the patient?

Even I it didn't say before, how can you modify a care plan without reassessing the patient?

I'm in agreement with you. But if I saw this on a test I would hem and haw for an hour between assessment and evaluating the previous care plan. See? I've changed my answer three times.

See? I've changed my answer three times.

Don't you just love NS questions?!

I would say C. You can't do any modification unless you access.

Thank you everyone. I way over think things and I talked myself out of the reassessment for various reasons which now seem so stupid. Some days I am so over whelmed with everything and I doubt that I can do this. Sigh...and this is just Nursing 1. LOL.

My first care plan is due on Tues and it is freaking me out. It gets easier, Right? LOL

Take care and thanks

remember you must assess before intervening! in addition they are post-op, so they have undergone a change that needs to be evaluated. Previous plan of care was pre-op, they are now post-op :)

Assessment is always the first step! Remember ADPIE!

Please com back and tell us what the answer turned out to be!

My thoughts:

What must take place before modification of the nursing care plan can occur?

The only way you will know what you are modifying is by evaluating the care plan. Then the process begins again with assessment.

So I would pick A

Thank you everyone. I way over think things and I talked myself out of the reassessment for various reasons which now seem so stupid. Some days I am so over whelmed with everything and I doubt that I can do this. Sigh...and this is just Nursing 1. LOL. My first care plan is due on Tues and it is freaking me out. It gets easier Right? LOL Take care and thanks[/quote']

I always go with my first instinct. When I'm dot with a test, I go back over it to make sure I have filled my scantron out correctly but I meet change answers. I changed 6 answers on a test once and missed all if them. My first choice had been the correct answer the hole time.