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

A. The client will teach back information about safe crutch walking on day 1.

B. The client will demonstrate safe crutch walking.

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

D. The client will ambulate 5 feet in one day.

E. The client will walk 10 feet by day 2.

F. The client will walk 20 feet by day 3.

G. The client will explain 4 principles of crutch safety.

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

The client will teach back information about safe crutch walking on day 1.

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 ["A","D","E","F"]

A. The client will teach back information about safe crutch walking on day 1: This goal includes a specific time frame ("on day 1") which makes it a timed component. It establishes when the client is expected to demonstrate understanding, aligning with the SMART criteria for setting time-specific goals.

B. The client will demonstrate safe crutch walking: While this goal describes a desired outcome, it does not include a time frame, so it lacks the timing component needed for SMART criteria.

C. The client will not lean on the crutches to support their body weight: This goal focuses on the behavior change but does not specify when this should be achieved, missing the timed element of SMART goals.

D. The client will ambulate 5 feet in one day: This goal has a specific time frame ("in one day"), indicating when the client should achieve the goal, which is a critical aspect of SMART outcomes.

E. The client will walk 10 feet by day 2: This goal includes a specific time frame ("by day 2"), providing a clear deadline for achieving the goal, which is essential for SMART objectives.

F. The client will walk 20 feet by day 3: This goal includes a specific time frame ("by day 3"), which provides a deadline for reaching the goal, meeting the criteria for SMART goals.

G. The client will explain 4 principles of crutch safety: This goal describes an outcome but does not include a time frame, so it lacks the timed aspect necessary for SMART goals.

H. The client will explain how to keep crutches in safe condition: This goal focuses on an outcome without specifying a deadline, thus missing the timed component required for SMART goal setting.

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Administer medication for high blood pressure: This is a dependent intervention as it requires a healthcare provider's order and is part of prescribed treatment.
B. Reposition the client every 2 hours: This is an independent nursing intervention, as it involves routine care that nurses can perform without needing a specific provider's order.
C. Starting IV antibiotics: This is a dependent intervention that requires a healthcare provider’s order and typically involves more specialized procedures.
D. Administering medication for pain: This is also a dependent intervention because it requires a healthcare provider's prescription and direction for administration.

A. "Advance the cane 12 inches forward when walking." B. "Keep the cane at the same level as the affected leg when climbing stairs." C. "Hold the cane on the side of your affected leg when walking." D. "Move your unaffected leg before your affected leg when walking."

Correct Answer is D

Explanation

A. "Advance the cane 12 inches forward when walking." Advancing the cane 12 inches forward is not practical; the cane should be moved in a manner that aligns with the client's steps for better balance and support. The movement of the cane should be synchronized with the client's stride rather than a fixed distance.
B. "Keep the cane at the same level as the affected leg when climbing stairs." When climbing stairs, the cane should be held on the side of the unaffected leg to provide optimal support and balance. Keeping the cane level with the affected leg is incorrect and does not provide adequate support.
C. "Hold the cane on the side of your affected leg when walking." The cane should be held on the side opposite the affected leg to provide better stability and support. Holding the cane on the affected side would not offer the necessary support for effective ambulation.
D. "Move your unaffected leg before your affected leg when walking." This is the correct technique as it ensures better balance and stability. Moving the unaffected leg first while using the cane allows for a more secure and coordinated gait, reducing the risk of falls.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing interventions written for a client. Which of the following should the nurse consider as being independent?

Correct Answer is B

Explanation

A nurse is teaching a client about using a cane for ambulation. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is caring for a client who reports experiencing flashbacks of a traumatic event that occurred a year ago. The nurse should identify that the client is experiencing which of the following stress-related disorders?

A nurse is caring for a client who has had an allogeneic hematopoietic stem-cell transplant. Which of the following infection-control precautions should the nurse use while caring for this client?

The nurse working in the ER is admitting a toddler to the orthopedic unit. The parents and grandparents are at bedside. What should the nurse use as the best source of data for this client?

38: A nurse in a mental health facility is caring for a client who has antisocial personality disorder and alcohol dependency. The nurse should encourage the client to participate in which of the following groups?

Which behavior indicates the nurse is using a team approach when caring for a patient who is experiencing alterations in mobility?

A nurse is teaching a class about physical manifestations associated with the fight-or-flight response to stress. Which of the following manifestations should the nurse include?