A client has the goal statement "Client will be able to state two positive aspects of rehab therapy by the end of the week." One of the following statements demonstrates that the nurse appropriately evaluated this goal.
Outcome not met. The client is able to state one positive aspect by the end of the week.
Outcome met. The client is able to state two positive aspects of therapy by week's end.
Outcome incomplete. The client is not able to positively state anything about rehab.
Outcome met. The client is able to state one positive aspect by the end of the week.
The Correct Answer is B
This statement demonstrates that the nurse appropriately evaluated the goal because it shows that the client was able to meet the goal of stating two positive aspects of rehab therapy by the end of the week. The other statements indicate that the outcome was either not met, incomplete, or only partially met.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nursing diagnosis was "Risk for Deficient Fluid Volume" related to excessive fluid loss, secondary to diarrhea and vomiting. The goal was set that the client's symptoms would be eliminated within 48 hours. The client is being seen after a week and has had no diarrhea or vomiting for the past 5 days, indicating that the problem has been resolved. Therefore, the nurse should document that the problem has been resolved and the goal has been met.
Correct Answer is C
Explanation
Turning, deep breathing, and coughing exercises are important for clients recovering from surgery as they help prevent the development of pneumonia. After surgery, clients may have difficulty taking deep breaths and coughing due to pain or discomfort. This can lead to the accumulation of mucus in the lungs, increasing the risk of pneumonia. By performing these exercises, clients can help clear their lungs and reduce their risk of developing this complication. While these exercises may also help prevent other complications such as thrombophlebitis, the primary reason for performing them is to prevent pneumonia.

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