When writing expected outcomes, the Practical Nurse (PN) should adhere to accepted criteria, such as which of the following? (Select all that apply)

Client O2 saturation will be maintained at 95% the entire day

Client will observe safety guidelines while smoking

PN will assess vital signs every day

Client will take part in one activity daily for the next 90 days

Answer and Explanation

Correct Answer : A,D

Choice A reason: Client O2 saturation will be maintained at 95% the entire day is an example of an expected outcome that adheres to accepted criteria. An expected outcome is a measurable and realistic goal that the client should achieve as a result of the nursing interventions. Accepted criteria for writing expected outcomes include being client- centered, specific, observable, measurable, time-limited, and realistic. This outcome meets all these criteria, as it focuses on the client’s condition, states a specific value and time frame, and can be observed and measured.

Therefore, this choice is correct.

Choice B reason: Client will observe safety guidelines while smoking is not an example of an expected outcome that adheres to accepted criteria. This outcome is not specific, observable, or measurable, as it does not state what the safety guidelines are, how they will be observed, or how they will be evaluated. It is also not realistic, as smoking is a harmful behavior that should be discouraged or eliminated, not made safer. Therefore, this choice is incorrect.

Choice C reason: PN will assess vital signs every day is not an example of an expected outcome that adheres to accepted criteria. This outcome is not client-centered, as it focuses on the nurse’s action, not the client’s condition or response. It is also not an outcome, but rather an intervention or activity that the nurse will perform to monitor the client’s status. Therefore, this choice is incorrect.

Choice D reason: Client will take part in one activity daily for the next 90 days is an example of an expected outcome that adheres to accepted criteria. This outcome is client-centered, specific, observable, measurable, time-limited, and realistic, as it focuses on the client’s participation, states a specific frequency and duration, and can be observed and measured. It also implies a positive change in the client’s behavior or lifestyle that may improve their health or well- being. Therefore, this choice is correct.

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Correct Answer is A

Explanation

Choice A reason: This is incorrect because it shows that the wound is healing well. Approximated wound edges mean that the edges are close together and aligned.

Choice B reason: This is correct because it shows that the wound is infected. Yellow, purulent drainage means that the wound has pus, which is a sign of inﬂammation and bacterial growth.

Choice C reason: This is incorrect because it shows that the wound is healing well. Pink granulation tissue means that the wound has new blood vessels and connective tissue, which fill the wound space and promote healing.

Choice D reason: This is incorrect because it shows that the wound is stable. Sutures in place mean that the wound has been closed with stitches, which hold the edges together and prevent bleeding.

A. Place them in the dirty linen receptacle B. Place them on the ﬂoor until the laundry department can pick them up C. Place them in a plastic bag that has the contamination symbol D. Place them in the hazardous waste receptacle

Correct Answer is C

Explanation

Choice A reason: This is incorrect because placing soiled linens in the dirty linen receptacle can expose other clients and staﬀ to the hepatitis virus, which can be transmited through blood and body ﬂuids.

Choice B reason: This is incorrect because placing soiled linens on the ﬂoor can create a safety hazard and a potential source of infection for anyone who comes in contact with them.

Choice C reason: This is correct because placing soiled linens in a plastic bag that has the contamination symbol can prevent the spread of infection and alert the laundry department to handle them with caution.

Choice D reason: This is incorrect because placing soiled linens in the hazardous waste receptacle can waste resources and violate the regulations for disposing of hazardous materials.

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When writing expected outcomes, the Practical Nurse (PN) should adhere to accepted criteria, such as which of the following? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is changing a client’s dressing. Which observation warrants immediate physician notification?

Correct Answer is A

Explanation

What should the nurse do with linens that have been soiled by a client with hepatitis?

Correct Answer is C

Explanation

During the planning step of the nursing process, the nurse performs which activity? Select one answer

Which statement best defines the nursing process? Select one answer

A patient roughly asks the nurse to bring him some ice cream. An assertive response by the nurse is:

The Practical Nurse (PN) explains that the major eﬀect of maintaining eye contact for 2 to 6 seconds during communication is to:

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Which statements describe a desired patient outcome or expected outcome? (Select all that apply)

When a female client preparing for surgery suddenly bursts into tears, the nurse should take which of the following actions? · Select one answer