The nursing student is formulating a nursing care plan for a patient with pneumonia. The care plan is directed toward meeting the potential oxygenation needs of the patient
Which of the fol-lowing examples would be the best way for the nursing student to write an expected outcome for the care plan? a. "The patient will have less pain."
b. "The patient will be able to breathe bet-ter."
c. "The patient's pulse oximetry reading will remain greater than 92%."
d. "The patient's interactions will be normal."
C
All goals need to have measurable outcomes for you to be able to determine whether they have been met. These include objective data, such as oxygen saturation levels, arterial blood gas levels, laboratory findings, chest radiographs, electrocardiogram patterns, blood pressure, and pulse. Quantify subjective findings, such as the reported degree of breathlessness or pain on visual analog scales. Less pain, breathe better, and normal interactions do not include objective data, making them hard to measure.
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The nurse is reinforcing foot care teaching with a client who has just been diagnosed with diabetes. Information to review includes:(Select all that apply) Standard Text: Select all that apply
1. Letting the feet air dry after washing 2. Check the water temperature before immersing feet in water 3. Cut toenails weekly 4. Exercise the feet several times daily 5. Avoid walking barefoot
A nurse is discussing the role of vitamin D in calcium regulation with a nursing student. Which statement by the student indicates a need for further teaching?
a. "Adequate amounts of vitamin D occur naturally in the diet." b. "Vitamin D3 is preferred over vitamin D2." c. "Vitamin D can promote bone decalcifi-cation." d. "Vitamin D increases the absorption of calcium and phosphorus from the intes-tine."
Although each care plan is individualized, there are certain risks and health problems that, for example, patients undergoing similar medical or surgical treatment have in common. What name is given to this type of care plan?
A) initial B) ongoing C) discharge D) standardized
The nurse is planning instruction to support health promotion behaviors. Which of the following clients would benefit the most from these instructions?
1. 60-year-old client diagnosed with type 2 diabetes mellitus 2. 83-year-old client with hypertension 3. 75-year-old client recovering from a total hip replacement 4. 35-year-old client desiring to begin an exercise program