A patient with chronic obstructive pulmonary disease works with the nurse to set a goal of ambulating to the bathroom with oxygen. Which statement best documents progress toward this goal?
a. "Dyspnea is controlled with oxygen and rest."
b. "Arterial blood gases are within normal limits."
c. "Patient assisted to bathroom three times today."
d. "Ambulated to bathroom with oxygen, dyspnea level 3 on a 0-to-10 scale."
ANS: D
"Ambulated to bathroom with oxygen, dyspnea level 3 on a 0-to-10 scale" directly addresses the goal. A. B. C. Normal arterial blood gases (ABGs), controlled dyspnea, and being assisted to the bathroom are all good outcomes, but they do not directly address the goal.
You might also like to view...
The patients below present in the emergency department. The psychiatric unit has one bed available. Which patient should be admitted? The patient:
a. feeling anxiety and a sad mood after separation from a spouse of 10 years. b. who self-inflicted a superficial cut on the forearm after a family argument. c. experiencing dry mouth and tremor related to haloperidol (Haldol). d. who is a parent and hears voices saying, "Smother your baby."
When observing the fetal heart monitor, the nurse recognizes the fetal heart rate (FHR) decreases to 120 beats per minute at the beginning of a contraction and returns to a baseline of 155 beats per minute at the end of the contraction
This indicates: a. early deceleration due to head compression. b. that the fetus is in acute distress. c. variable decelerations due to cord compression. d. that these are late decelerations.
Which factor has the greatest influence on how long it will take for new bone tissue to grow into the pores of a replacement joint prosthesis and graft to the device?
A. The client's age B. The client's cardiac status C. The length of time the joint has degenerated D. The degree of tissue damage resulting from joint degeneration
The nurse is preparing discharge instructions for a 63-year-old African American male patient recovering from a same-day surgical procedure
What genetic, racial, ethnic, and cultural factors affecting health and well-being should the nurse consider prior to giving discharge instructions? Select all that apply. 1. hypertension 2. sickle cell anemia 3. lactose intolerance 4. diabetes 5. osteoporosis