A nurse is developing an individualized plan of care for a patient. Which action is important for the nurse to take?
a. Establish goals that are measurable and realistic.
b. Set goals that are a little beyond the capabilities of the patient.
c. Use the nurse's own judgment and not be swayed by family desires.
d. Explain that without taking alignment risks, there can be no progress.
ANS: A
The nurse must develop an individualized plan of care for each nursing diagnosis and must set goals that are individualized, realistic, and measurable. The nurse should set realistic expectations for care and should include the patient and family when possible. The goals focus on preventing problems or risks to body alignment and mobility.
You might also like to view...
A nurse is caring for a 30-year-old client who is receiving albuterol for asthma. The client complains of feeling dizzy, especially when he stands up after sitting
The nurse suspects that a possible interaction with another drug could be causing the client's problem. Which of the following drugs should the nurse consider as a possible cause? A) Warfarin B) Uterine stimulants C) Methylxanthines D) Methyldopa
Which of the following is a feature of physical dependence in substance abusers?
A. Tolerance B. Compulsive behavior C. Withdrawal D. A and C
____________________ is a term to describe reduced blood flow.
Fill in the blank(s) with the appropriate word(s).
Stertorous respirations are
A. difficult and labored. B. snoring. C. moist. D. rapid and shallow.