The nurse is helping a patient set a goal for ambulating after surgery. Which outcome statement for this patient with generalized postoperative weakness is best?
a. The patient transfers self safely from the bed to the chair 3 times daily.
b. The nurse will maintain his or her physical mobility after surgery.
c. The patient will remain safe from falls and postoperative anxiety.
d. The patient transfers self safely from bed to chair 4 times daily within 2 days.
D
The best goal for a patient with postoperative weakness is that the patient transfers safely 4 times a day within 2 days because it is specific, patient oriented, measurable, and time limited. Any nurse who reads this outcome knows the specific expectations for the patient. In addition, the outcome focuses on improving the patient's ability and strength. Transferring 3 times daily is a reasonable outcome but lacks a time limit. Altered physical mobility and at risk for falls are nursing diagnoses; the nurse lacks specific data to support these diagnoses.
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Select all that apply. 1. "You should avoid smoking and air pollution.". 2. "Lifestyle modifications to decrease oxygen demands will be necessary.". 3. "It is important for you to restrict fluid intake to avoid congestive failure.". 4. "You and your family should get annual influenza immunizations.". 5. "You must avoid large gatherings of people.".
An adult with bowed tibias and a shortened thorax may have:
a. ankylosing spondylitis. b. Paget disease. c. rheumatoid arthritis. d. Sprengel deformity.
Clients in which of the following age ranges would be likely to receive the least amount of touch?
a. 5 to 15 b. 20 to 35 c. 45 to 60 d. 70 to 85