Fundamentals Of Nursing NCLEX Quiz

Client-centered goals should meet immediate client needs, as this ensures that the client's immediate concerns and issues are addressed. Including preventative health care in client-centered goals is important because it focuses on preventing future health problems and promoting overall well-being. Additionally, rehabilitation needs should be included in client-centered goals to support clients in recovering and regaining their functional abilities. Therefore, all of the above options are correct in terms of what client-centered goals should include.

The planning step of the nursing process involves setting goals and selecting interventions. This step is crucial in developing a care plan for the patient. Setting goals helps to establish what the desired outcomes of the nursing care should be, while selecting interventions involves determining the appropriate actions that need to be taken to achieve those goals. Assessing and diagnosing are part of the initial steps in the nursing process, while evaluating goal achievement and performing nursing actions and documenting them are steps that come after the planning phase.

It is specific in what to do and when.

The given statements indicate the expected outcomes for a client after a mastectomy. "Incision site approximated" means that the edges of the incision are close together, indicating proper healing. "Absence of drainage or prolonged erythema at incision site" means that there is no discharge or prolonged redness, which are signs of infection or inflammation. "Client remains afebrile" means that the client does not have a fever, indicating absence of infection. These statements describe the expected results of the nursing care and treatment provided to the client. Therefore, the correct answer is Expected outcomes.

The correct answer is "A written guideline for implementation and evaluation." This answer is supported by the fact that a nursing care plan is a document that outlines the specific nursing interventions and actions that should be taken to provide care to a client. It serves as a guide for nurses to follow in order to ensure that the appropriate care is provided and that the client's progress is evaluated. The other options, such as "A documentation of client care" and "A projection of potential alterations in client behaviors," do not fully capture the purpose and function of a nursing care plan.

This gives the consulting nurse facts that will influence a new plan.

This does not require a physician’s order. A and D require an order; C is not appropriate for a fractured tibia.

The statement "The client will remain free from infection throughout hospitalization" is an example of a short-term goal. Short-term goals are specific, measurable, and achievable objectives that are intended to be accomplished within a short period of time, usually during the client's hospitalization. In this case, the goal is to prevent the immunosuppressed client from developing any infections while they are in the hospital. This goal is specific and can be measured by monitoring the client's vital signs, laboratory results, and any signs or symptoms of infection. It is also achievable within the timeframe of the hospital stay.

Calling in the wound care nurse as a consultant is appropriate because he or she is a specialist in the area of wound management.

This is measurable and objective.