The nurse is evaluating care provided to a client recovering from surgery for colorectal cancer. Which outcomes indicate that care has been successful?
Select all that apply.
A) Client reports pain level as an 8 on a rating scale of 0-10.
B) Client has an hourly urine output of 45 mL.
C) Client performs morning care with assistance.
D) Client states family members will care for the ostomy at home.
E) Client tolerates full liquid diet and is requesting solid food.
Answer: B, C, E
Evidence that care has been effective includes an adequate hourly urine output of at least 0.5 mL/kg/hr, ability to perform activities of daily living, and tolerating oral intake. Not participating in the care of an ostomy and stating that family will provide the care needed are evidence of ineffective coping, an undesirable outcome. Pain rating should be at a level or 3 or less as evidence of successful care.
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