Patient Data
Which are the 3 most important goals that would help the nurse evaluate the treatment of this client at discharge?
The client will be afebrile for 24 hours
The client will have quit smoking
The client will report pain less than 3 on a pain scale of 0 to 10.
The client will remain free of skin breakdown
The client will maintain oxygen saturation of 96% without supplemental oxygen
Correct Answer : A,B,E
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Initiating sequential pneumatic compression devices is not immediately relevant to managing acute stroke symptoms.
B. Raising the head of the bed to 30 degrees and keeping the head and neck in neutral alignment helps reduce intracranial pressure and facilitates venous drainage, which is crucial in managing potential stroke patients.
C. Elevating the dependent joints on the affected side is not immediately necessary and does not address the acute neurological symptoms.
D. While obtaining a focused history is important, it should follow after initial stabilization measures such as positioning and securing immediate diagnostic tests.
Correct Answer is A
Explanation
A. Substituting natural fruit juices for carbonated drinks can help reduce the intake of purines and decrease the risk of gout attacks. Carbonated drinks can contribute to dehydration and worsen gout.
B. High protein foods can increase uric acid levels and exacerbate gout, so this is not a recommended dietary practice for managing gout.
C. Reporting right upper quadrant discomfort is important for liver function monitoring but not directly related to the management of gout symptoms.
D. Using an electric heating pad might provide temporary relief but does not address the underlying issue of uric acid levels or dietary management.
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