The nurse is caring for a patient after gastric bypass surgery. The goal is for the patient to be able to feed herself appropriately. The patient correctly states "I should only drinkk 30 cc of juice an hour. " The patient struggles to demonstrate measuring and monitoring of intake frequency, as she is having frequent vomitting. How would the nurse evaluate the attainment for this goal.
A. Goal completely met.
B. Goal partial met
C. Goal completely unmet
D. Modification of plan of care needed.
Answer: D. Modification of plan of care needed.
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A client with chronic paranoid schizophrenia was recently referred to a sheltered workshop and has been participating in a supported employment program for three weeks
Which of the following client outcomes would indicate that the client is demonstrating successful behaviors in this program? 1. The client attended 85% of recreational and educational group activities. 2. The client applied for and obtained subsidized housing from the local housing authority. 3. The client worked four hours per day making protective facemasks for a local company. 4. The client applied for and was approved by the Medicaid program for supplemental income.
A patient has completed 4 weeks of treatment with epoetin alfa. Which of the following assessment findings would most strongly indicate that treatment has been effective?
A) The patient white blood cell level is within reference ranges B) The patient's hemoglobin level is 11 g/dL C) The patient maintains an oxygen saturation of 92% on room air D) Capillary refill in the patient's nail beds is less than or equal to 3 seconds
A client with whom the nurse is discussing advance directives asks "What advantage does a durable
power of attorney for health care have over a living will?" The nurse should reply a. "A durable power of attorney for health care gives your agent the ability to speak for you during any illness if you become incapacitated.". b. "A durable power of attorney for health care can be used only if you have a terminal illness and become incapacitated.". c. "A durable power of attorney for health care cannot go into effect for 30 days so you have time to rethink your decision.". d. "A durable power of attorney can be given only to a relative who would have your best interests at heart.".
While a nurse assists a patient from a lying position to a sitting position, the patient suddenly becomes dizzy, pale, clammy, and nauseated. The nurse recognizes these symptoms are most likely related to
1. Thromboembolism. 2. Orthostatic hypotension. 3. Orthostatic hypertension. 4. Symptomatic bradycardia.