A client's planned date of discharge is in 2 days. The nurse is evaluating the plan of care and notes that the goals that were identified in collaboration with the client have not yet been met. What is the nurse's next step?
A) Begin assessing the client's current status and developing new diagnoses and goals.
B) Revise the interventions with the goal of discharge.
C) Revise the goals to match the client's current abilities and accomplishments.
D) Continue the plan and reevaluate in the follow-up period.
Ans: A
Feedback:
Nurses continually monitor interventions to determine if they are effective and if they serve the needs of individuals and families. The nursing process is cyclical, so evaluation is the catalyst for modifying the other components of the care plan. If the client's behavior does not change, the nurse must review and modify the care plan by modifying the outcomes or devising new intervention strategies.
You might also like to view...
The nurse is working with a group of parents of children with chronic conditions. The nurse concludes that a parent's caregiver burden could become overwhelming when the parent states which of the following?
1. "My mother moved in and helps us with the care of our family." 2. "Our health insurer sent us a rejection letter for my child's brand-name medication, and we must fill out forms to get the generic." 3. "I chose to quit my job to be home with my child, and my husband helps in the evening when he can." 4. "I have to care for my child day and night, which leaves little time for me."
A client who has a major abscess on the thigh is on isolation precautions in a private room after surgical debridement. The physician changes the dressing each day. What barrier precautions should the nurse wear when providing care to this client?
a. an N-95 respirator and gloves b. eye protection and a face mask c. gloves and a gown, using antimicrobial-agent hand hygiene after glove removal d. a gown only
The mother confided in the nurse, "I don't think my child is improving." Which of the following statements would be the best response by the nurse?
a. "My assessment shows your child is improving." b. "The children seem to be playing with and accepting your child." c. "The teacher reported to me that your child is doing much better." d. "What is causing your concern?"
Which statement about the pathology of asthma is true?
a. Breath sounds are normal between attacks. b. Mucous plugs are the major cause of airway obstruction. c. Eventually the alveoli are destroyed and gas exchange is limited. d. During an attack, arterial oxygen levels and carbon dioxide levels are decreased.