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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A. When assisting a client with a fractured hip to turn in bed, the nurse should plan to turn the client to the unaffected side, which is the right side. This helps to reduce pressure on the affected hip, minimize discomfort, and prevent further injury. Clients with hip fractures (choice B) can and should be turned with proper positioning and assistance. Keeping the client supine (choice C) for extended periods can lead to pressure ulcers, discomfort, and other complications. Repositioning the client to the left side (choice D) can cause additional pressure and discomfort on the affected hip. Therefore, turning the client to the right is the best option for repositioning a client with a fractured left hip who has been lying in the supine position for an extended period.
Correct Answer is A
Explanation
The correct answer is choice A. When conducting a physical assessment of the extremities, the most appropriate assessment would be to assess pulses, capillary refill, strength, edema, skin, and compare with the other extremity. This comprehensive assessment can help to identify potential issues with circulation, strength, and skin integrity, and can also provide a baseline for ongoing assessments. Rebound tenderness in both the arms and legs, skin turgor, and moisture (choice B) are not typically assessed during a physical assessment of the extremities. Assessing the measurements in centimeters of each extremity, pulses, and varicosities (choice C) may be appropriate in certain situations, but it is not a comprehensive assessment of the extremities. Assessing pulses, strength, range of motion, percussion, odor, and edema (choice D) is also not a comprehensive assessment of the extremities and may not provide a complete picture of the client's condition. Therefore, the most appropriate assessment when conducting a physical assessment of the extremities is to assess pulses, capillary refill, strength, edema, skin, and compare with the other extremity.
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