The nurse is caring for clients on a neurologic floor. Which client goal is most appropriate for the acute phase of a neurologic injury?
A) The client will use the adaptive devices to assist with feeding.
B) The client's vital signs will stabilize returning to baseline.
C) The client's skin will remain clean, dry, and intact.
D) The client will return to optimal level of functioning.
B
Feedback:
During the acute phase of a neurologic injury, the goal of nursing management is to stabilize the client to prevent further neurologic damage. A client goal would be to have the vital signs stabilize, indicating an improvement in status, and also returning to baseline. Using adaptive devices would occur in the recovery or chronic phase of a neurologic deficit. The client's skin and returning to optimal level of functioning is a goal for later in the recovery process.
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