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A nurse is writing a teaching plan using the Specific, Measurable, Attainable, Relevant, and Timed outcome (SMART) goals for a client who is learning to walk with crutches.
Client Education

Exhibits

Click to highlight the timed components of the SMART outcome goals. To deselect a finding, click on the finding again.

The client will teach back information about safe crutch walking.

The client will demonstrate safe crutch walking.

The client will not lean on the crutches to support their body weight.

The client will ambulate 5 feet in one day.

The client will walk 10 feet by day 2.

The client will walk 20 feet by day 3.

The client will explain 4 principles of crutch safety.

The client will explain how to keep crutches in safe condition.

The client will teach back information about safe crutch walking.

The client will demonstrate safe crutch walking.

The client will not lean on the crutches to support their body weight.

The client will ambulate 5 feet in one day.

The client will walk 10 feet by day 2.

The client will walk 20 feet by day 3.

The client will explain 4 principles of crutch safety.

The client will explain how to keep crutches in safe condition.

Answer and Explanation

The Correct Answer is ["D","E","F"]

A. The client will teach back information about safe crutch walking. This is an essential component of client education and ensures that the client understands how to use crutches safely. However, this statement does not include a specific time frame, making it not a timed SMART goal.

B. The client will demonstrate safe crutch walking. Demonstration of skills ensures the client can safely perform crutch walking techniques. However, without a specific deadline, it does not qualify as a timed component.

C. The client will not lean on the crutches to support their body weight. This statement reinforces proper crutch technique to prevent nerve damage (e.g., axillary nerve compression). However, it lacks a specific timeframe, so it is not a timed SMART goal.

D. The client will ambulate 5 feet in one day. This goal is specific, measurable, and time-bound as it defines both the distance (5 feet) and the timeframe (one day), making it a timed SMART goal.

E. The client will walk 10 feet by day 2. This goal provides clear progression, stating that the client should ambulate 10 feet within two days, making it specific, measurable, and time-limited.

F. The client will walk 20 feet by day 3. This builds on the previous goals, ensuring incremental progress in crutch walking and clear expectations within a set timeframe.

G. The client will explain 4 principles of crutch safety. This is a knowledge-based goal that ensures the client understands the fundamentals of crutch safety. However, no specific timeframe is provided, so it is not a timed component.

H. The client will explain how to keep crutches in safe condition. This supports long-term safety and maintenance of crutches but does not specify when the client should demonstrate this knowledge, making it not a timed SMART goal.

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Bend at the knees when picking up an object: This technique helps distribute the weight of the object and reduces strain on the back muscles.

B. Relax her abdominal muscles when she lifts an object: Tensing the abdominal muscles can provide core support, but relaxing them while lifting can increase the risk of injury.

C. Twist at the waist when she moves an object to one side: Twisting at the waist can strain the back muscles and should be avoided.

D. Hold an object away from her body as she lifts it: Holding objects close to the body reduces strain on the back muscles and is a good technique to prevent injury.

A. Obtain a bedside commode for the client's use. B. Limit the client's fluid intake in the evening. C. Put the side rails up and tell the client to call the nurse before voiding. D. Leave a nightlight on in the client's room.

Correct Answer is D

Explanation

A. Obtain a bedside commode for the client's use: While helpful, this might not address the client's fear of walking in a dark room, and it requires transferring, which could still pose a fall risk.

B. Limit the client's fluid intake in the evening: This can prevent nocturnal trips to the bathroom but doesn't directly address safety if the client needs to get up at night.

C. Put the side rails up and tell the client to call the nurse before voiding: Side rails can sometimes increase fall risk if the client attempts to climb over them. It's more beneficial to ensure a safe environment.

D. Leave a nightlight on in the client's room: This provides adequate lighting, reducing the risk of tripping or falling in the dark, which directly addresses the client's concern about safety while walking to the bathroom.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has strained her back muscles while preparing to move to a new apartment. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is caring for an older adult client who states, "I am afraid that I may fall while walking to the bathroom during the night." Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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