A patient has met the goals set for improvement of ventilatory status. The nurse should now:
A. modify the care plan.
B. discontinue the care plan.
C. create a nursing diagnosis that states goals have been met.
D. reassess the patient's response to care and evaluate the implementation step of the nursing process.
B
After a nurse determines that expected outcomes and goals have been met and evaluation confirms it, the nurse discontinues that portion of the care plan.
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On completion of open-heart surgery, the nurse should expect the cardiac patient will return with
A) a permanent pacemaker. B) an ICP monitor. C) chest tubes. D) an intra-aortic balloon pump.
A woman who is pregnant with twins is at risk for the development of:
A) oligohydramnios C) pregnancy-induced hypertension B) post-term labor D) chorioamnionitis
What medication would the nurse administer to the patient in severe pain?
A) Codeine B) Hydrocodone C) Hydromorphone D) Opium
A client visits the clinic and complains of foot pain. The nurse examines the feet and finds that the second toe on each foot has flexion of the proximal interphalangeal joints. The nurse further assesses these areas for:
1. OA. 2. corns on the affected toes. 3. capillary refill. 4. pedal pulses.