The nurse is reviewing the goal statements for a postoperative client. Which goal statements should the nurse recognize needs further development? Select all that apply.
A. The client will begin a clear liquid diet on the first postoperative day.
B. The client will report feeling better by the end of the day.
C. The nurse will administer oral analgesics as prescribed.
D. The client will ambulate every 6 hours on the first postoperative day.
E. The nurse will assess the vital signs every 2 hours.
Answer: E
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The nurse explains to the family of a client with a spinal cord injury that IV methylprednisolone will reduce
a. pain. b. possibility of seizure. c. muscle spasms. d. spinal cord edema.
Before becoming an effective advocate for the older adult patient, the nurse must
a. be familiar with the physical and mental effects of aging. b. gain insight into the patient's world by talking with and listening to him or her. c. learn the details of the patient's medical and social histories. d. be a member of the patient's formal sup-port system.
The nurse in a prenatal clinic finds that four patients have called with complaints related to their pregnancies. Which call should the nurse return first?
1. Primip at 7 weeks' gestation reporting nasal stuffiness 2. Multip at 38 weeks experiencing rectal itching and hemorrhoids 3. Primip at 15 weeks with nausea and vomiting and a 15-pound weight loss 4. Multip at 32 weeks treating constipation with prune juice
Unlicensed assistive personnel are assigned the task of feeding breakfast to older clients with alterations in mobility and orientation. What instruction should the nurse include in this delegation?
1. Breakfast should be completed quickly so that baths may begin. 2. Give fluids before and after each bite of solid foods. 3. Stand to the left of right-handed clients during feeding. 4. Engage the client in conversation during the meal.