The nurse is caring for a client who just had colon resection surgery with a new colostomy. Which teaching objective does the nurse include in the client's plan of care?
a. Understanding colostomy care and life-style implications
b. Learning how to change the appliance in-dependently
c. Demonstrating the correct way to change the appliance by discharge
d. Not being afraid to handle the ostomy ap-pliance tomorrow
C
Client learning goals must be measurable and objective with a time frame, so the nurse can de-termine whether they have been met. When the goal is to have the client demonstrate a particular skill, the nurse can easily determine whether the goal was met. The specific time frame of "by discharge" is easily measurable also. The other goals are all subjective and cannot be measured objectively. The first two options do not have time frames. "Tomorrow" is a vague time frame.
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A wife received news that her husband died of heart failure and called her family to come to the hospital. She angrily tells the nurse who cared for him, "He would still be alive if you had given him your undivided attention."
Select the nurse's best response. a. "I understand you are feeling upset. I will stay with you until your family comes.". b. "Your husband's heart was so severely damaged that it could no longer pump.". c. "I will call my supervisor to discuss this matter with you.". d. Hold the spouse's hand in silence until the family arrives.
A young client experiences nausea and vomiting after eating peanut butter. Which additional symptom should indicate to the nurse that the client is experiencing an allergic reaction?
a. Hives b. Diarrhea c. Constipation d. Abdominal bloating
A nurse is working in the community during the industrial revolution. Which of the following population groups would have been least likely to receive community assistance?
a. Widowed women b. Orphaned children c. Mentally ill d. Injured laborers
Identify an accurate statement about the drug lysergic acid diethylamide (LSD).
A. LSD is ineffective when taken orally. B. LSD has a high therapeutic index. C. LSD is among the least potent of the hallucinogenic drugs. D. LSD is widely used in the medical industry for its therapeutic effects.