Meet immediate client needs.
Include preventative health care.
Include rehabilitation needs.
All of the above.
Assessing and diagnosing
Evaluating goal achievement.
Performing nursing actions and documenting them.
Setting goals and selecting interventions.
A written guideline for implementation and evaluation.
A documentation of client care.
A projection of potential alterations in client behaviors
A tool to set goals and project outcomes.
Encourage client to implement guided imagery when pain begins.
Determine effect of pain intensity on client function.
Administer analgesic 30 minutes before physical therapy treatment.
Pain intensity reported as a 3 or less during hospital stay.
Apply a cold pack to the tibia.
Elevate the leg 5 inches above the heart.
Perform range of motion to right leg every 4 hours.
Administer aspirin 325 mg every 4 hours as needed.
Apply continuous passive motion machine during day.
Perform neurovascular checks.
Elevate head of bed 30 degrees before meals.
Change dressing once a shift.
Notifying the physician.
Calling the wound care nurse
Changing the wound care treatment.
Consulting with another nurse.
Length of time the current treatment has been in place.
The spouse’s reaction to the client’s dressing change.
Client’s concern about the current treatment.
Physician’s reluctance to change the current treatment plan.