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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

The client would most likely exhibit tachycardia, which is an abnormally fast heart rate. Fever and infection can both cause an increase in heart rate as the body tries to fight oﬀ the infection. Severe pain can also cause an increase in heart rate due to the body's stress response. Therefore, it is likely that the client would have a fast pulse rate, or tachycardia.

A. Call a partial code. B. Call a code. C. Call the physician. D. Call a "slow code."

Correct Answer is B

Explanation

In the absence of an advance directive, the nurse should call a code ³. This means initiating emergency resuscitation measures to try to revive the client. The other options (Call a partial code, Call the physician, and Call a "slow code") are not appropriate in this situation.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a fever, an infection of a ﬂank incision, and is in severe pain. Which type of pulse rate would the client most likely exhibit?

Correct Answer is D

Explanation

A client with a terminal illness without an advance directive stops breathing and does not have a heartbeat. What should the nurse do?

Correct Answer is B

Explanation

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