When evaluating a patient's progress toward targeted outcomes, the nurse must always explore which of the following?
a. staff's perception of whether goals were met or not, and to what degree
b. patient's perception of whether goals were met or not, and to what degree
c. family's perception of whether goals were met or not, and to what degree
d. physician's perception of whether goals were met or not, and to what degree
B
When evaluating a patient's progress toward targeted outcomes, the nurse must remember to also ask about the patient's perception of whether goals were met or not, and to what degree. The patient's perception always takes priority because the patient is the recipient of the care provided.
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A patient is diagnosed with hyperglycemic hyperosmolar state (HHS). Which interventions would the nurse anticipate?
1. Potassium supplementation 2. Testing for sources of infection 3. Increasing amount of NPH insulin administered 4. Increasing IV fluid administration 5. Monitoring arterial blood gases
A telephone triage nurse gets a call from a postpartum client concerned about jaundice. The client's newborn is 37 hours old. What data would the nurse need to gather first?
1. Stool characteristics 2. Fluid intake 3. Skin color 4. Bilirubin level
The nurse is reviewing a patient's laboratory values and notes that the serum albumin level is elevated. This finding is going to affect which of the following electrolyte levels?
1. total calcium 2. ionized calcium 3. potassium 4. sodium