The nurse knows an appropriate goal for a patient with a stage III pressure ulcer with the nursing diagnosis Impaired physical mobility is:
a. the patient will remain free of wound infections during the hospitalization.
b. the patient will report pain management strategies and reduce pain to a tolerable level.
c. the patient will turn self in bed using over trapeze every two hours using assistance when needed.
d. the patient will consume adequate nutrition to meet nutritional requirements within 1 week.
ANS: B
The patient will report pain management strategies to reduce pain to a tolerable level is an appropriate goal for Impaired physical mobility. The patient remaining free of wound infections during the hospitalization is an appropriate goal for Impaired tissue integrity. The patient reporting pain management strategies to reduce pain to a tolerable level is an appropriate goal for Acute pain. The patient consuming adequate nutrition to meet nutritional requirements within 1 week is an appropriate goal for Imbalanced nutrition: less than body requirement.
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A patient who is taking prescribed lithium carbonate is exhibiting signs of diarrhea, blurred vision, frequent urination, and an unsteady gait. Which serum lithium level would the nurse expect for this patient?
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A nurse has approached her supervisor concerning a problem and is asking advice about blowing the whistle on the situation. In questioning the nurse, the supervisor reminds the nurse that blowing the whistle can produce what potential result?
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