The nurse is identifying outcomes for a patient with a Fluid Volume Deficit. Which outcome should the nurse use to guide the patient's care?
a. Patient's fluid intake will be measured daily.
b. Patient's intake will be 3000 mL daily.
c. Fluids will be at the bedside for the patient.
d. Fluids the patient likes will be at the bedside.
ANS: B
B. This outcome provides objective measurable data. A. C. D. These statements are nursing actions.
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The nurse is visiting the home of the client in response to the client's blood pressure, which has risen to 196/102. The home health care nurse has lost wireless connection to the Internet because the client lives in a rural area
What is a consequence of the lack of access to the Internet? 1. The nurse will be unable to assist the ambulance personnel as they try to navigate their way to the client's house. 2. The nurse will be unable to access the National Institutes of Health hypertension treatment guidelines. 3. The nurse will be unable to charge the client the appropriate amount for providing treatment. 4. The nurse's manager will be unable to use the client's information in a research study about hypertension.
The nurse is teaching incisional care to a patient who has been discharged after abdominal surgery. Which priority instruction must the nurse include?
a. Do not rub or touch the incision site b. Practice proper hand washing c. Clean the incision site two times a day with soap and water d. Splint the incisional site as often as needed for comfort
Sleep is a basic human need of all people.
Answer the following statement true (T) or false (F)