The nursing diagnosis is Impaired Memory related to fluid and electrolyte imbalances AMB inability to Knowledge recent events. Which of the following goals/outcomes must be included on the care plan?
a. Checks current medications for mind-altering side effects
b. Demonstrates use of techniques to help with memory loss
c. Drinks at least 1,500 mL of fluid per day
d. Takes electrolyte supplements with meals
B
The essential goal/outcome is "Demonstrates use of techniques to help with memory loss." An essential goal is aimed at the problem response—in this case, Impaired Memory. The other goals in this question address the etiology of the diagnosis
You might also like to view...
The most common nutrient deficiency in the world is lack of ___________________
Fill in the blank(s) with correct word
The nurse would counsel a patient who has received the ganglionic-blocking agent trimethaphan, the side effects of which may include:
a. diarrhea. b. sweating. c. blurred vision. d. urinary incontinence.
What data are essential for the nurse to assess on a client who is scheduled for surgery? (Select all that apply.)
a. Use of tobacco b. Current medications c. Use of herbal or over-the-counter therapy d. Mental status examination e. Power of attorney f. Allergies g. Date of last tetanus shot
A nurse is caring for a hospitalized client who has schizophrenia. The client has been taking antipsychotic medications for 1 week when the nurse observes that the client's eyes are fixed on the ceiling. The nurse interprets this finding as which of the f
A) Akathisia B) Oculogyric crisis C) Retrocollis D) Tardive dyskinesia