The nurse is caring for the client with pneumonia. An expected client outcome is, The client will maintain adequate oxygenation by discharge. Which outcome criterion indicates the goal is met?
A) Client taking antibiotic as ordered.
B) Client identifies signs and symptoms of recurrence of infection.
C) Client coughing and deep breathing every one hour.
D) Client no longer requires oxygen.
Ans: D
The client who is maintaining adequate oxygenation would not require oxygen. The client could be able to do the other three options and still have problems with oxygenation.
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A client with rheumatoid arthritis (RA) is on the postoperative nursing unit after having elective surgery. The client reports that one arm feels like "pins and needles" and that the neck is very painful since returning from surgery
What action by the nurse is best? a. Assist the client to change positions. b. Document the findings in the client's chart. c. Encourage range of motion of the neck. d. Notify the provider immediately.
If psychiatric nurses used Orem's theory for structuring much of their nursing practice, a major focus area for assessment would be the client's ability to do which of the following?
1. Adapt and function to meet various role expectations. 2. Care about self and participate in self-healing. 3. Implement self-care to meet psychosocial needs. 4. Enter into a therapeutic one-to-one relationship with the nurse.
The nurse encourages the posthospital option that would provide the most comprehensive assistance to a recovering post-CVA, which is:
1. transfer to a rehabilitation center. 2. discharge to home with scheduled visits from home health nurses. 3. discharge to home with scheduled visits from a physical therapist. 4. discharge to home with scheduled visits from an occupational therapist.
The nurse is planning care for the family of a child with a chronic illness. Which activities will the nurse recommend to decrease the risk for compassion fatigue? Select all that apply
1. Fostering social relationships 2. Exercising 3. Developing a hobby 4. Moving away 5. Sleeping more than 9 hours per 24-hour period