The nurse is creating goals for a client's plan of care. For what reasons should the nurse expect to use these goals?
1. Serve as criteria to evaluate the client's progress
2. Determine when the problem has been resolved
3. Motivate the client to provide a sense of achievement
4. Use as a measuring stick to limit the use of hospital resources
5. Provide direction when planning the client's nursing interventions
Correct Answer: 1, 2, 3, 5
Rationale: Desired outcomes/goals serve as the criteria for judging the effectiveness of nursing interventions and client progress in the evaluation step.
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A patient has just had a liver biopsy. Immediately following this procedure, the nurse should:
a. assist the patient up to a chair. b. keep the patient on his or her left side. c. assist the patient with ambulation. d. tell the patient to avoid coughing.
A head nurse puts a blank copy of the shift duty schedule on the table in the break room. The staff is permitted to fill in the shifts that they want to work during the next cycle. What leader-ship style does this reflect?
a. Autocratic b. Democratic c. Laissez-faire d. Participative
A medical nurse is aware of the need to screen specific patients for their risk of hyperglycemic hyperosmolar syndrome (HHS). In what patient population does hyperosmolar nonketotic syndrome most often occur?
A) Patients who are obese and who have no known history of diabetes B) Patients with type 1 diabetes and poor dietary control C) Adolescents with type 2 diabetes and sporadic use of antihyperglycemics D) Middle-aged or older people with either type 2 diabetes or no known history of diabetes
A client diagnosed with rheumatoid arthritis receives a prescription for indomethacin. Which of the following statements by the client would indicate the need for further instruction about this medication?
1. "I have to let my doctor know if I need to start blood pressure medications." 2. "I have to make sure I get my kidneys tested as scheduled." 3. "I need to get my eyes checked regularly." 4. "This medication shouldn't upset my stomach."