A discharge goal for a client is to have improved mobility. Which outcome statement did the nurse write appropriately?
Client will have freer movement in daily activities.
Client will ambulate without a walker by 6 weeks.
Client will not fall.
Client will ambulate frequently in the house.
The Correct Answer is B
An appropriate outcome statement for a client with a discharge goal of improved mobility should be specific, measurable, achievable, relevant, and time-bound. In this case, the outcome statement "Client will ambulate without a walker by 6 weeks" meets these criteria. It specifies the desired outcome (ambulating without a walker), provides a measurable goal (6 weeks), is achievable and relevant to the client's goal of improved mobility, and includes a time frame for achieving the goal. The other statements are not specific or measurable enough to be considered appropriate outcome statements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nursing process consists of five phases: assessment, diagnosis, planning, implementation, and evaluation. During the assessment phase, the nurse gathers information about the client's health status and needs. In this scenario, the nurse is conducting a dressing change and notes a new area of skin breakdown. This observation is part of the assessment phase of the nursing process, as the nurse is gathering information about the client's condition. The other phases of the nursing process involve analyzing the information gathered during assessment (diagnosis), developing a plan of care (planning), carrying out interventions (implementation), and evaluating the effectiveness of care (evaluation).
Correct Answer is A
Explanation
The nurse should instruct the client to include more whole grains in their diet and drink more water daily to improve their inconsistent fecal elimination pattern. Whole grains are high in fiber which can help regulate bowel movements and drinking more water can help keep stools soft and easy to pass ¹. Using enemas as desired is not a recommended solution for long-term management of inconsistent fecal elimination patterns. It is important for the client to consult with their healthcare provider for personalized advice and treatment options.
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