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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

The most appropriate response by the nurse would be to explain to the client that antibiotics have no eﬀect on viruses. Upper respiratory infections, such as the common cold, are caused by viruses and therefore antibiotics would not be eﬀective in treating the infection. It is important for the nurse to educate the client about the appropriate use of antibiotics and to address any misconceptions they may have.

A. Reposition the client every 3 hours. B. Apply cornstarch to keep the skin dry. C. Provide the client with a diet high in protein. D. Massage bony prominences to promote circulation.

Correct Answer is C

Explanation

A diet high in protein can help maintain skin integrity in older adults. Protein is essential for tissue repair and wound healing. The other options may not be as effective in maintaining skin integrity. For example, repositioning the client every 3 hours may not be frequent enough to prevent pressure ulcers. Applying cornstarch to keep the skin dry may not be the best option as it is important to keep the skin moisturized. Massaging bony prominences to promote circulation may not be recommended as it could cause damage to fragile skin.

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A discharge goal for a client is to have improved mobility. Which outcome statement did the nurse write appropriately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with an upper respiratory infection (common cold) tells the nurse, "I am so angry because the nurse practitioner would not give me an antibiotic." What would be the most appropriate response by the nurse?

Correct Answer is B

Explanation

A nurse is caring for an older adult client who is at risk for skin breakdown. The nurse should use which of the following interventions to help maintain the integrity of the client's skin?

Correct Answer is C

Explanation

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