Which of the following is the best example of a measurable client goal? The clientwill:

Sit out of bed in the chair.

Verbalize feelings about surgery at some point.

Eat low-sodium food.

Identify the five major drug side effects before discharge tomorrow.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. Identify the five major drug side effects before discharge tomorrow. This is a measurable goal as it has a specific action, which is to identify five major drug side effects, and a specific time frame, which is before discharge tomorrow. The goal is also realistic and achievable within the given time frame. Option A, sitting out of bed in the chair, is not specific enough and lacks a time frame. Option B, verbalizing feelings about surgery at some point, is too vague and lacks a specific action and time frame. Option C, eating low-sodium food, is specific but lacks a time frame and may not be realistic given the client's condition.

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Correct Answer is B

Explanation

The correct answer is B. Sanguinous. Sanguinous drainage is bright red, indicating fresh bleeding, and may be seen in the first few hours after surgery. Dark red drainage may indicate that there is an increase in bleeding, and the nurse should notify the provider immediately. Serosanguineous drainage is pink in color and consists of both blood and serum. Purulent drainage is thick, yellow or green in color and consists of pus, indicating an infection. Serous drainage is clear or light yellow in color and contains serum without red blood cells.

A. Call the pharmacy and see if the medication is available. B. Initiate the prescription and administer the medication. C. Read back the order to the physician. D. Draw the medication into an appropriately labeled syringe.

Correct Answer is C

Explanation

Answer and Explanation

The correct answer is choice C, Read back the order to the physician.

After obtaining the physician's order over the phone, the nurse should read back the order to the physician to confirm accuracy and prevent medication errors.

This process ensures that the order is correctly transcribed and the right medication, dose, and route are given to the patient. Calling the pharmacy to check medication availability is not the nurse's responsibility, and initiating the prescription and administering the medication is inappropriate without confirming the order with the physician. Drawing up the medication into an appropriately labeled syringe before confirming the order with the physician is also inappropriate and can lead to medication errors. Therefore, reading back the order to the physician is the most appropriate action for the nurse to take.

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Which of the following is the best example of a measurable client goal? The clientwill:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a post-operative client observes the drainage in the client's closed wound drainage system. The drainage is dark red in color. The nurse documents the drainage as which of the following?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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