A nurse is assisting with teaching a class about National Patient safety Goals (NPSGS). Which of the following goals should the nurse include? (Select All that Apply.)

Explanation:

A. DNR:

DNR stands for "Do Not Resuscitate." It is a medical order that indicates a patient's preference not to receive cardiopulmonary resuscitation (CPR) in case of cardiac or respiratory arrest. This abbreviation is unrelated to medication administration instructions and does not indicate "to administer medications before meals."

B. ONG:

The abbreviation ONG is not commonly used in medical contexts to indicate medication administration instructions or timing. It does not specifically relate to the administration of medications before meals.

C. ac:

The abbreviation "ac" is derived from the Latin term "ante cibum," which translates to "before meals." In medical orders, "ac" is used to indicate that a medication should be taken or administered before meals. For example, "Take 1 tablet ac" means to take one tablet before meals.

D. Tx:

The abbreviation "Tx" is commonly used in medical contexts to denote treatment or therapy. However, it does not specifically indicate "to administer medications before meals." It is a broader term that can refer to various aspects of patient care and interventions.

Explanation:

A. Data collection:

Data collection is the initial step of the nursing process where the nurse gathers information about the client's health status, including physical, psychological, social, and environmental factors. This involves conducting assessments, obtaining medical histories, performing physical exams, reviewing diagnostic tests, and gathering information from the client, family members, and other healthcare providers. In the scenario, data collection would involve gathering information about the client's postoperative condition, recovery progress, functional abilities, support system, home environment, and any other relevant factors that would influence the discharge planning process.

B. Evaluation:

Evaluation is the step of the nursing process where the nurse assesses the client's response to interventions, measures progress toward goals, and determines the effectiveness of the care provided. It involves comparing the client's actual outcomes with expected outcomes, identifying any deviations or areas needing improvement, and making adjustments to the care plan as necessary. In the scenario, evaluation would occur after the implementation of the discharge plan to assess the client's readiness for discharge, the achievement of goals, and the overall success of the interventions implemented.

C. Planning:

Planning is the phase of the nursing process where the nurse, in collaboration with the client, family, and healthcare team members, develops a comprehensive plan of care based on the collected data and identified needs. This includes setting priorities, establishing expected outcomes and goals, determining appropriate interventions, creating a timeline for implementation, and coordinating resources and services. In the scenario, planning involves working with the social worker and physical therapist to develop a discharge plan that addresses the client's postoperative needs, ensures continuity of care, promotes recovery, and supports a smooth transition from the healthcare facility to the home or next level of care.

D. Implementation:

Implementation is the phase of the nursing process where the nurse carries out the interventions outlined in the care plan. This involves putting the plan into action, providing direct care, educating the client and family, coordinating services, monitoring progress, and advocating for the client's needs. In the scenario, implementation would occur as the nurse, along with the social worker and physical therapist, initiates the discharge plan, arranges for services and resources, provides education and instructions to the client and family, and ensures that all necessary preparations are made for the client's transition from the hospital.