Tyrel Asplund, 80 years old, has the nursing diagnosis of impaired skin integrity related to stasis ulcer on the left ankle. Which of the following would be a goal for this nursing diagnosis?
a. The resident will not have any more leg ulcers
b. Stasis ulcer will have decreased redness and granulation tissue evident in 2 weeks
c. The nurse will change the wound dressing b.i.d. until healed
d. The nurse will chart any wound drainage and report it to the physician
B
Response B is a measurable, realistic, specific, time-related, and attainable goal. Responses C and D are not resident-centered goals. They are nursing interventions. Response A is a goal, but it does not address the current problem, stasis ulcer. The goal is not specific or timely.
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A nurse is teaching a smoking cessation program. Which symptom, described by a patient, best demonstrates a need for further teaching about the adverse effects of nicotine gum?
a. Belching b. Headache c. Sore throat d. Hiccups
A patient might be admitted to a subacute unit with
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