The nurse is evaluating whether patient goals and outcomes have been met for a patient with physical mobility problems due to a fractured leg. Which finding indicates the patient has met an expected outcome?

a. The nurse provides assistance while the patient is walking in the hallways.
b. The patient is able to ambulate in the hallway with crutches.
c. The patient will deny pain while walking in the hallway.
d. The patient's level of mobility will improve.


ANS: B
The patient's being able to ambulate in the hallway with crutches is an expected outcome of nursing care. The outcomes of nursing practice are the measurable conditions of patient, family or community status, behavior, or perception. These outcomes are the criteria used to judge success in delivering nursing care. The option stating, "The patient's level of mobility will improve" is a broader goal statement. The nurse's assisting a patient to ambulate is an intervention. The patient's denying pain is an expected outcome for pain, not for physical mobility problems.

Nursing

You might also like to view...

The perinatal nurse is caring for a woman at 26 weeks' gestation who has a history of hypertension that has been well controlled. Today she presents with a blood pressure of 156/102 mm Hg and she has 2+ protein on urine dipstick

Which initial action by the nurse is most appropriate? A. Arrange admission to the high-risk OB unit. B. Instruct the woman on strict bedrest. C. Obtain a clean-catch urine sample. D. Prepare to administer IV anti-hypertensives.

Nursing

All antiretroviral medications interfere with some stage of the HIV life cycle. What stage do protease inhibitors prevent?

A) Cleavage of the polyprotein chain into the individual proteins that will be used to make new virus B) Addition of more nucleosides to the DNA chain C) Killing of the CD4+ T cell to release virions into the bloodstream D) Attachment of the virus to CD4+ cell receptors

Nursing

Which assessment finding places an older patient at the greatest risk factor for the development of Alzheimer's disease?

1. Age 2. Genetic predisposition 3. Environmental exposure 4. History of previous head injury

Nursing

A patient has just been admitted after experiencing severe burns in an automobile accident. What intravenous solution should the nurse anticipate administering during this patient's immediate care?

A) Normal saline B) 5% dextrose with sterile water (D5W) C) Lactated Ringer's D) 5% dextrose with 0.45% saline D5½NS)

Nursing