The nurse is preparing the care plan for a client who admitted to the unit after an abdominal hysterectomy to manage endometriosis. Which goal statements reflect the need for further development by the nurse?

Question

Select all that apply.
1. The nurse will assess the vital signs every 2 hours.
2. The client will walk Q2h on the first postoperative day.
3. The client will report feeling better.
4. The client will begin a clear liquid diet on the first postoperative day.
5. The healthcare provider will prescribe oral analgesics on the first postoperative day.

Answer 1

Correct Answer: 1, 3, 5

Goal statements are used to provide planned outcomes for the client. Goal statements must be measurable and are reflective of client activities. The only statement reflecting these criteria is that the client will walk Q2h on the first postoperative day. Statements reflecting actions of the nurse or healthcare provider are not goal statements. Vague statements such as "feeling better" are not measurable. The statement that the client will begin a clear liquid diet on the first postoperative day contains the needed elements for a successful goal statement.