The nurse has developed a plan of care for a client who is having a surgical procedure and is at risk for the development of pneumonia
The nurse devises the outcome statement to read: "The client will have clear lungs by the third postoperative day." On the third postoperative day, the patient has left lower lobe crackles and infiltrates on the chest x-ray. What conclusion does the nurse reach for this client? A) The outcome is achieved, the problem is solved, and the nursing orders are discontinued.
B) The outcome is not met, but progress is being made, and the plan of care is continued or revised with minor change.
C) The outcome is not achieved, and the plan requires critical reevaluation and major revision.
D) The outcome will be reassessed in 2 more days.
C
Feedback:
The client has not achieved the outcome and in fact has developed pneumonia. The plan will require critical reevaluation, and new outcomes will be required to assist with resolving the pneumonia. The other evaluation criteria are not correct for this particular client's condition.
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Patients taking riluzole for amyotrophic lateral sclerosis should be instructed to take the medication:
1. before bed. 2. with meals. 3. 1 hour before or 2 hours after meals. 4. every 4 hours with water.
The nurse is preparing to administer a controlled substance to a patient. Which schedule class is the most concern for potential abuse?
a. C-VI. b. C-V. c. C-IV. d. C-III.