A nurse is caring for a group of patients. Which evaluative measures will the nurse use to determine a patient's responses to nursing care? (Select all that apply.)
a. Observations of wound healing
b. Daily blood pressure measurements
c. Findings of respiratory rate and depth
d. Completion of nursing interventions
e. Patient's subjective report of feelings about a new diagnosis of cancer
ANS: A, B, C, E
You examine the results of care by using evaluative measures, which are assessment skills and techniques (e.g., observations, physiological measurements, use of measurement scales, and patient interview). Examples of evaluative measures include assessment of wound healing and respiratory status, blood pressure measurement, and assessment of patient feelings. You conduct evaluative measures to determine if your patients met expected outcomes, not if nursing interventions were completed.
You might also like to view...
Graft success, or vascularization, is usually complete within 3 to ____________________ days following the procedure
Fill in the blank with the appropriate word.
A patient is non–English speaking and unable to answer questions. When preparing to bathe this patient the nurse needs to remember which of the following?
a. Use soaps which contain deodorant to help control body odor. b. Cultural heritage influences hygiene practices. c. Shave facial hair to make the patient more presentable. d. Diaphoresis will prevent skin breakdown and infection, so the patient should only be bathed once a day.
Bulging of an amber tympanic membrane without mobility is usually associated with:
a. middle ear effusion. b. healed tympanic membrane perforation. c. impacted cerumen in the canal. d. repeated and prolonged crying cycles.
The nurse is taking care of a child who is alert but showing signs of increased intracranial pressure. Which test is contraindicated in this case?
a. Oculovestibular response b. Doll's head maneuver c. Funduscopic examination for papilledema d. Assessment of pyramidal tract lesions