Determine which of the following goals is a SMART goal

The client will be able to lift more than 50 pounds after abdominal surgery on post op day 1

The client will be able to describe ALL the sign and symptoms of COPD

The client will be able to tolerate 50% of his meal at lunch

The client states his wound is improving

Correct answer: C

Answer and Explanation

The Correct Answer is C

A. The client will be able to lift more than 50 pounds after abdominal surgery on post-op day 1. This goal is not realistic or safe for a client post-abdominal surgery on day 1.

B. The client will be able to describe ALL the signs and symptoms of COPD. This goal is not realistic or specific enough to be measurable and achievable.

C. The client will be able to tolerate 50% of his meal at lunch. This goal is Specific, Measurable, Achievable, Relevant, and Time-bound (SMART).

D. The client states his wound is improving. This goal is not measurable or specific.

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Correct Answer is B

Explanation

A. Primary prevention: Primary prevention involves measures taken to prevent diseases or injuries before they occur, such as vaccinations or health education to prevent onset of illness. Teaching blood sugar monitoring to someone with diabetes is not primary prevention.
B. Tertiary prevention: Tertiary prevention involves managing disease post-diagnosis to slow or stop disease progression. Teaching a diabetic patient to monitor their blood sugar helps manage their existing condition and prevent complications, making it tertiary prevention.
C. Secondary prevention: Secondary prevention includes screening and early detection of disease to halt or slow its progress. Monitoring blood sugar levels in a diabetic patient is not about early detection but managing an existing condition.
D. Disease surveillance: Disease surveillance involves continuous, systematic collection, analysis, and interpretation of health data. This is not what the nurse is doing when teaching a client to monitor their blood sugar.

A. Give the client his blood pressure medication B. Measure the vital signs C. Report any unusual lung sounds. D. Teach the patient about a heart healthy diet.

Correct Answer is B

Explanation

A. Give the client his blood pressure medication: Administering medications is outside the scope of practice for UAPs and should be done by licensed nursing staff.
B. Measure the vital signs: Measuring vital signs is within the scope of practice for UAPs and can be safely assigned to them.
C. Report any unusual lung sounds: Assessing and interpreting lung sounds require the skills and training of a licensed nurse.
D. Teach the patient about a heart-healthy diet: Teaching requires assessment and evaluation, which are within the RN’s scope of practice, not the UAP’s.

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Determine which of the following goals is a SMART goal

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse at the clinic is teaching a client with diabetes the importance of monitoring their blood sugar. The nurse is implementing what level of preventative care?

Correct Answer is B

Explanation

The nurse can safely assign which task to an unlicensed assistive personnel (UAP) for a patient who is stable after a myocardial infarction?

Correct Answer is B

Explanation

A nurse is providing education to a client. The nurse should use which of the following nonverbal communication techniques to enhance the importance of the education?

A nurse is vaccinating n child with the varicella vaccine. The nurse is implementing what level of preventative care?

During a health assessment, the nurse is collecting subjective data from the client. Which of the following is an example of subjective data?

A nurse on a medical surgical unit has received report on four clients. There is an LVN, RN, and UAP working. Which of the following clients would best to assign to the RN?

A nurse is responding to a call light of a newly diagnosed diabetic. The client states she is ready for learning. The nurse recognizes this as which learning domain?

An RN has a critical client that needs constant monitoring. However, the RN also has other clients in need of care. Which tasks below could the RN delegate to the LPN to help continue the process of client care? Select three items