While evaluating the outcomes of care for a client, the nurse determines that a goal for a client has been met. Which of the following should the nurse do?
a. Reassess the situation.
b. Modify the plan of care.
c. Determine to either cease nursing activities or continue to maintain the outcome.
d. Suggest the client be discharged.
ANS: C
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The nurse is teaching parents about chronic pain. Which statement indicates teaching has been successful?
1. "It is sudden and of short duration." 2. "It is persistent, lasting longer than six months." 3. "It is associated with a single event." 4. "It is associated with pain and discomfort."
The nurse is reviewing the lipid panel of a male client who has atherosclerosis. Which finding is most concerning?
a. Cholesterol: 126 mg/dL b. High-density lipoprotein cholesterol (HDL-C): 48 mg/dL c. Low-density lipoprotein cholesterol (LDL-C): 122 mg/dL d. Triglycerides: 198 mg/dL
The client reports that the IV site hurts. The nurse assesses the site, and it appears normal, without redness, edema, drainage, or any indication of complications. What is the nurse's priority intervention?
1. Discontinue the infusion. 2. Notify the physician. 3. Slow the rate of infusion. 4. Notify the RN.
The nurse recognizes that when a dying patient uses the call light frequently to ask the nurse to do many small tasks, the patient may be experiencing fear of:
a. increased pain. b. failure. c. abandonment. d. isolation.