The nurse is preparing the care plan for a client who has undergone an abdominal hysterectomy to manage endometriosis
When reviewing goal statements, which of the following reflect the need for further development? Standard Text: Select all that apply. 1. The nurse will assess the vital signs every 2 hours.
2. The client will walk Q2h on the first postoperative day.
3. The client will report feeling better.
4. The client will begin a clear liquid diet on the first postoperative day.
5. The healthcare provider will prescribe oral analgesics on the first postoperative day.
1,3,5
Rationale 1: The nurse will assess the vital signs every 2 hours. Goal statements are used to provide planned outcomes for the client. Goal statements must be measurable and are reflective of client activities. This statement reflects actions of the nurse, not the client.
Rationale 2: The client will walk Q2h on the first postoperative day. The goal statement is used to provide planned outcomes for the client. Goal statements must be measurable and reflective of client activities. All elements needed for an appropriate goal statement are represented.
Rationale 3: The client will report feeling better. Goal statements must be measurable and reflective of client activities. This statement is vague and does not provide a definitive means for measurement.
Rationale 4: The client will begin a clear liquid diet on the first postpartum day. Goal statements are used to provide planned client outcomes. This statement contains the needed elements for a successful goal statement.
Rationale 5: The healthcare provider will prescribe oral analgesics on the first postoperative day. This statement is not a client-centered goal statement. This statement reflects an intervention performed by the healthcare provider.
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