The nurse is planning care for a client who will be administering injections of cyanocobalamin once a month. Which goal is most appropriate?
1. The client will safely self-administer cyanocobalamin as ordered every 4 weeks.
2. The client will be taught about the possible side effects of cyanocobalamin by the home health nurse.
3. The client will understand the purpose of cyanocobalamin before the first dose.
4. The client will be given cyanocobalamin monthly until the blood count improves.
Correct Answer: 1
Rationale 1: A client goal should be specific, measurable, attainable, realistic, and timed. The client will be self-administering the drug, and the time frame might gradually change to less frequent administration as the blood count improves.
Rationale 2: The goal should be client-directed, not nurse directed. This statement is a nursing intervention.
Rationale 3: Understanding is an internal event that cannot be measured unless the client can state understanding or convey it in some other way.
Rationale 4: The goal should be client-directed, not nurse directed. This statement is a nursing intervention.
Global Rationale: A client goal should be specific, measurable, attainable, realistic, and timed. The client will be self-administering the drug, and the time frame might gradually change to less frequent administration as the blood count improves. Understanding is an internal event that cannot be measured unless the client can state understanding or convey it in some other way. The other goals should be client-directed, not nurse directed. These statements are nursing interventions.
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