When developing long-term goals, the nurse manager is always aware that these goals should remain:
a. long. c. flexible.
b. short. d. inflexible.
C
It is important, when making long-term goals and outcomes, that they remain flexible. The concept of
flexibility should be built into any outcome orientation such as goal setting because, at times, the
long-term goals may no longer be realistic or may need to be changed as circumstances change.
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The nurse, when collecting data on a patient 48 hours after surgery for a fractured femoral shaft, notes mental confusion, tachycardia and tachypnea, dyspnea, high blood pressure, and petechiae on the chest and reports the findings to the RN
What nursing interventions are appropriate while awaiting the physician's specific orders? (Select all that apply.) a. Place patient in high Fowler's position or raise the head of the bed. b. Ask patient to move affected limb to see if pain is worse. c. Prepare patient for chest x-ray or lung scan. d. Maintain bedrest and keep movement to a minimum. e. Administer oxygen. f. Prepare patient for arterial blood gas tests.
The nurse is reviewing discharge plans with a client who is recovering from a cervical biopsy. Which statements indicate good understanding by the client? (Select all that apply.)
a. "I can return to work this afternoon." b. "There should be no problem lifting my 2-year-old toddler when I get home." c. "I cannot douche until the biopsy site is healed." d. "I need to wait for about 2 weeks to have intercourse with my husband." e. "If I have some bleeding, I can use a regular tampon this evening."
As a nurse advocate for the reduction of family elder abuse, a nurse:
1. Locates community resources for families. 2. Educates the public about legal consequences of violent acts. 3. Helps abused victims make it to the hospital for treatment. 4. Encourages abusers to come forward to talk about their issues.
At the health department teen clinic, pregnant adolescent girls and teen mothers are routinely screened for symptoms of depression and suicidal ideation. This is an example of assessment for which type of vulnerability?
1. hopelessness 2. physical needs 3. social needs 4. psychological needs