Which is the best outcome statement for a client with generalized postoperative weakness?
1. Client transfers self safely from the bed to the chair three times daily
2. Altered physical mobility related to the effects of surgery and anxiety
3. At risk for falls related to client's postoperative weakness and anxiety
4. Client transfers safely from bed to chair four times daily within 2 days
4
4. The best goal for a client with postoperative weakness is the client transfers safely four times a day within 2 days because it is specific, client oriented, measurable, and time limited; any nurse who reads this outcome knows the specific expectations for the client. In addition, the outcome focuses on improving the client's ability and strength.
1. Transferring three times daily is a reasonable outcome but lacks a time limit.
2 and 3. Altered physical mobility and at risk for falls are nursing diagnoses; the nurse lacks specific data to support these diagnoses.
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a. 4+ pitting edema b. Mild pitting edema c. 4+ nonpitting edema d. Severe nonpitting edema
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a. "Participate in an all-night cram session the night before the test." b. "Rely on your intuition to answer questions when you do not know the answer." c. "Study throughout the year and review systematically before the exam." d. "Quiz previous graduates about test content and study what they mention."
Hold the temporal artery thermometer in place for one full minute.
Answer the following statement true (T) or false (F)