Exam 66: Planning Nursing Care

A hospital's wound nurse consultant made a recommendation for nurses on the unit to continue the patient's dressing changes as previously ordered.The nurses on the unit should incorporate this recommendation into the patient's plan of care by

Which patient outcome statement includes all seven guidelines for writing goal and outcome statements?

A nurse is planning care for a patient with a nursing diagnosis of Impaired skin integrity.The patient needs many nursing interventions,including a dressing change,several intravenous antibiotics,and a walk.What factors does the nurse consider when prioritizing interventions?

Which of the following options correctly explains what the nurse should do with the plan of care for a patient after it is developed?

A patient's plan of care includes the goal of increasing mobility this shift.As the patient is ambulating to the bathroom at the beginning of the shift,the patient suffers a fall.The nurse should revise the plan of care first by

Which of these outcomes would be most appropriate for a patient with a nursing diagnosis of Constipation related to slowed gastrointestinal motility secondary to pain medications?

What is the first step in making a consult?

The nurse recognizes that another term for a collaborative nursing intervention is _____ intervention.

The nurse describes evidence-based practice as

A patient's son decides to stay at the bedside while his father is confused.When developing the plan of care for this patient,what should the nurse do?

A registered nurse administers pain medication to a patient suffering from fractured ribs.What type of nursing intervention is this nurse implementing?

The nurse is caring for seven patients this shift.After completing their assessments,the nurse states that he doesn't know where to begin in developing care plans for these patients.Which of the following is an appropriate suggestion by another nurse?

A patient has reduced muscle strength following a left-sided stroke and is at risk for falling.Which intervention is most appropriate for the nursing diagnostic statement,Risk for falls?

After completing a thorough database and analyzing the data to identify any problems,the nurse should proceed to what step of the nursing process?

A nursing assessment for a patient with a spinal cord injury leads to several pertinent problems that a nurse can treat.While developing the plan of care,which nursing diagnosis is the highest priority for this patient?

Which intervention is most appropriate for the nursing diagnostic statement,Impaired skin integrity related to shearing forces?

Which intervention is most appropriate for the nursing diagnostic statement,Impaired verbal communication related to loss of facial motor control and decreased sensation?

When evaluating a plan of care,the nurse reviews the goals for the patient.Which goal statement is realistic to assign to a patient with a pelvic fracture on bed rest? The patient will increase mobility by

The following statements are on a patient's nursing care plan.Which of the following statements is written as an outcome?

When planning patient care,a goal can be described as