A client with terminal cancer has this nursing diagnosis: Pain related to neuromuscular involvement of disease process. The goal statement is as follows: Client will be free of pain within 48 hours
As an intervention, the nurse will administer narcotic analgesics and titrate to an appropriate level. What is the flaw in this plan?
1. The goal statement is written inaccurately.
2. The interventions are dependent of nursing.
3. The goal is unrealistic.
4. The interventions are not clear enough.
Correct Answer: 3
Rationale 1: The goal statement is written accurately inclusive of all required components.
Rationale 2: Dependent interventions would be appropriate in this situation.
Rationale 3: When a care plan needs to be modified, discontinued, or changed in some manner, several decisions need to be made. If the nursing diagnosis is accurate, as it is in this case, the nurse should check to see if the goals are attainable and realistic–the flaw in this plan. A client with terminal cancer is not going to be pain-free, regardless of the amount of medication delivered. To think otherwise is inappropriate.
Rationale 4: The interventions are clearly written.
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