A student nurse asks an instructor how best to develop nursing outcomes for clients. Which response by the instructor most accurately answers the student's question?
1. "You can use NIC, a standardized reference for nursing outcomes."
2. "Look at your client's problems and set a realistic, achievable goal."
3. "With client collaboration, outcomes should be based on client problems."
4. "Copy your standard outcomes from a nursing care plan textbook."
3
Rationale: Client outcomes are most realistic and achievable when there is collaboration among the interdisciplinary team members, the client, and significant others.
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A client who is a victim of a penetrating trauma has bowel loops protruding through the abdominal wall. Which of these actions should the nurse take FIRST?
a. Administer narcotics if indicated by pain level expressed by the client. b. Cover the exposed intestine with saline-soaked gauze. c. Insert a large-bore intravenous (IV) access. d. Prepare the client for a peritoneal lavage procedure.
Which person would likely be provided for under the Social Security Act of 1935?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. A 16-year-old whose father died in a motor vehicle accident 2. A 70-year-old man who is retired from a job he held for 30 years 3. A 45-year-old woman who suffered a myocardial infarction 4. A 34-year-old person who files for unemployment after losing her job 5. A 30-year-old woman who has become blind secondary to diabetic retinopathy
The client is receiving cyclophosphamide, doxorubicin, and vincristine as chemotherapy for lung cancer. At the second round of therapy, the client tells you that a lot of blood was in the urine for 3 days after the therapy
What is your best action? A. Obtain a urine specimen for culture and sensitivity. B. Document the information as the only action. C. Check the client's platelet count. D. Notify the physician.
Identify the clinical indications for the use of mycophenolate mofetil (CellCept).
A. Mycophenolate mofetil is used in the treatment of rheumatoid arthritis. B. Mycophenolate mofetil is used in the treatment of Crohn's disease. C. Mycophenolate mofetil is used to control immune-based diseases such as lupus erythematosus. D. Mycophenolate mofetil is used in renal organ transplantation to prevent rejection.