Which goal is most appropriate for a patient who has had a total hip replacement?
a. The patient will ambulate briskly on the treadmill by the time of discharge.
b. The patient will walk 100 feet using a walker by the time of discharge.
c. The nurse will assist the patient to ambulate in the hall 2 times a day.
d. The patient will ambulate by the time of discharge.
ANS: B
"The patient will walk 100 feet using a walker by the time of discharge" is individualized, realistic, and measurable. "Ambulating briskly on a treadmill" is not realistic for this patient. The option that focuses on the nurse, not the patient, is not a measurable goal; this is an intervention. "The patient will ambulate by the time of discharge" is not measurable because it does not specify the distance. Even though we can see that the patient will ambulate, this does not quantify how far.
You might also like to view...
A Southeast Asian woman brings her baby into the clinic because the baby is lethargic
The nurse determines that the baby has had diarrhea and vomiting for several days, resulting in dehydration. Physical examination reveals small, round burns on the abdomen. These burns probably are the result of cigarettes or burning cotton used to: a. try to quiet the child and is considered child abuse. b. bring out toxic wind from the body. c. balance heat loss from the body. d. brush the body with ruda to allow spirits to return.
To ________ a medication, a liquid is mixed with the powder form of the medication
Fill in the blank(s) with correct word
Mr. D is an African American diabetic who is 60 years old. His weight is 190 pounds and his BMI > 25. He has several co-morbid conditions including hypertension, hyperlipidemia, and smoking
His most recent lipid panel results showed cholesterol 242, triglycerides 240, LDL 200, and HDL 23. The nurse should inform him that he has several risks for developing heart disease including: 1. Race, age, and moderate weight. 2. Obesity, low LDL, and diabetes. 3. Diabetes, tobacco cessation, and obesity. 4. Diabetes, hypertension, and age.
A resident has an IV in his right arm. He wears a standard gown. He has an IV pump. Which is correct?
a. Put his gown on the right arm first and then on the left arm. b. Put his gown on the left arm first and then on the right arm. c. His right arm is not put through the sleeve of the gown. d. The gown is put on so the ties are in the front.