Which of the following is the best example of an outcome statement? The patient will:
1) Use the incentive spirometer when awake.
2) Walk two times during day and evening shift.
3) Maintain an oxygen saturation above 92% while performing ADLs each morning.
4) Tolerate 10 sets of range-of-motion exercises with physical therapy.
ANS: 3
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During an interview with an older adult client, the nurse notes the client is confused as to day and time. The nurse would document this finding as an indicator of which of the following?
1. Affect and mood 2. Orientation 3. Willingness to cooperate 4. Level of anxiety
A client scheduled for surgery asks, "Is it okay that the surgeon is going to remove my tonsils and adenoids?" What is the nurse's best response?
1. "Sometimes removing tissue is a healthier option than leaving it in place." 2. "Those tissues don't do anything but cause sore throats, so it is good to be rid of them." 3. "We aren't certain why we have them to start with." 4. "This is a common procedure, and you will have to be on prophylactic medications during cold and influenza season for the first year after having these tissues removed."
How do seasoned nurse researchers, years away from clinical practice, select meaningful research questions? (Select all that apply.)
a. They continue to conduct research in the same general areas in which they have previously conducted research, with one project leading into the next. b. They cannot do so, because they are not working bedside nurses. c. They establish working relationships with clinical nurses, sharing authorship of research publications. d. They collaborate with novice researchers who are closer to the clinical world. e. They use research methods that allow data collection through only observation.
The nurse assesses that a patient is more anxious than usual. The patient states, "I don't understand how I can still be alive when my heart has failed." Which nursing response is indicated?
1. "Heart failure is a common problem in the United States. Many people have it. They all have problems such as yours." 2. "Heart failure doesn't mean your heart has quit, just that it no longer is as efficient as it once was." 3. "You seem upset. Would you like for me to call the health care provider to explain this to you?" 4. "Heart failure is pretty complicated. It means the heart is failing to work."