Which nursing evaluation supports the fact that the goals of long-term client care have been achieved? (Select all that apply.)
a. Resident has participated in bath with minimal assistance from the staff.
b. Resident has experienced no falls since admission 3 months ago.
c. Resident continues to show loss of strength in upper extremities.
d. Resident is not required to dress or feed self since assistance is always available.
e. Resident demonstrates improved weight bearing on affected leg; discharge to be considered.
ANS: A, B, E
Goals of long-term care include providing a safe and supportive environment for chronically ill and functionally dependent people; restoring and maintaining the highest practicable level of functional independence; and providing coordinated interdisciplinary care to residents who plan to return to home. The remaining options show loss of function that is likely preventable and an environment that does not support autonomy and independence.
You might also like to view...
After a mammogram, a client is told that she needs a fine needle aspirate of a breast mass. Which of the following demonstrates that the client is engaging in a primary appraisal of the stressful situation?
1. The client schedules the procedure in 6 weeks, which is the earliest possible appointment. 2. The client sits in the dressing room and cries. 3. The client asks the nurse if she has cancer. 4. The client holds her breath while the nurse is talking.
A nurse is working on a pediatric unit. Which clients on the unit will be candidates for treatment with aspirin? (Select all that apply.)
a. Child who is experiencing pain from an injury b. Child who has influenza-like symptoms c. Child who is exhibiting fever d. Child who has inflammation from an injury
The nurse is caring for a child who was burned in a house fire. The nurse develops a plan of care for monitoring the child during the treatment for burn shock
The nurse identifies which of the following assessments as providing the most accurate guide to determine the adequacy of fluid resuscitation? 1. Heart rate 2. Lung sounds 3. Level of consciousness 4. Amount of edema at the site of the burn injury
An elderly client postoperative hip replacement is experiencing signs of hyponatremia. The nurse checks the client's electrolyte levels. Which of the following serum sodium levels confirms this diagnosis?
A) 150 mEq/L B) 145 mEq/L C) 135 mEq/L D) 130 mEq/L