Of the following nursing goals, which is the most appropriate for a patient who has had a total hip replacement?
a. The patient will walk 1000 feet using her walker by the time of discharge.
b. The patient will ambulate by the time of discharge.
c. The patient will ambulate briskly on the treadmill by the time of discharge.
d. The nurse will assist the patient to ambulate in the hall.
A
"The patient will walk 1000 feet using her walker by the time of discharge" is individualized, realistic, and measurable. "The patient will ambulate by the time of discharge" is not measurable because it does not specify the distance. Even though we can see that the patient will ambulate, this does not quantify how far. "Ambulating briskly on a treadmill" is not realistic for this patient. The last option focuses on the nurse, not the patient, and is not measurable.
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Analysis has shown that a client's right atrial pressure is 30 mm Hg. What is the most likely conclusion that the client's care team will draw from this piece of data?
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Assessment questions that would be highly appropriate to ask a client with possible
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A nurse is monitoring trends of a patient's SvO2 as a measure of oxygen delivery to tissues. The nurse would be concerned about the accuracy of this trending if which patient condition develops?
1. The patient's heart rate drops. 2. The patient develops a high fever. 3. The patient develops gastrointestinal bleeding. 4. The patient's SaO2 improves with antibiotic therapy. 5. The patient is receiving multivitamins in intravenous infusions.