A nurse evaluates whether planned interventions are patient-…
A nurse evaluates whether planned interventions are patient-centered for a 58-year-old client with heart failure: lives alone, works night shifts as a security guard, and has a prescribed medication schedule of 0800, 1400, and 2000 daily. Which factors indicate the plan requires revision? Select all that apply.
Read DetailsA nurse reviews the care plan for a 67-year-old client 2 day…
A nurse reviews the care plan for a 67-year-old client 2 days post-abdominal surgery: provider orders include “ambulate in hallway twice daily” and “incentive spirometry every 2 hours while awake.” The nurse notes decreased breath sounds in lung bases and initiates coughing and deep-breathing exercises without a specific order. Which statement best describes this nursing action?
Read DetailsA nurse plans care for a 73-year-old client newly diagnosed…
A nurse plans care for a 73-year-old client newly diagnosed with type 2 diabetes: the client states “I’ve managed my health with herbs for 40 years and they’ve worked fine,” has a hemoglobin A1C of 9.2%, and the provider ordered metformin 500 mg twice daily and diabetes education. Which nursing action best demonstrates patient-centered care?
Read DetailsA nurse evaluates a 69-year-old client with heart failure 72…
A nurse evaluates a 69-year-old client with heart failure 72 hours after implementing interventions for the nursing diagnosis “excess fluid volume”: the expected outcome was “client will lose 1.5 kg within 72 hours.” The client gained 0.8 kg, has increased peripheral edema, and reports worsening shortness of breath. Which evaluation finding most clearly reveals an error or omission in care?
Read Details