The use of the nursing process and nursing diagnosis

The nurse is planning care for an older patient. Which is a measurable goal for this patient?

The resident will feel better

The resident will feel less nauseated

The resident's appetite will improve

The resident will eat more than 80% of each meal for the next week. (correct)

An older patient has the nursing diagnosis of impaired skin integrity related to a stasis ulcer on the left ankle. Which would be a goal for this nursing diagnosis

The resident will not have any more leg ulcers

The nurse will change the wound dressing b.i.d. Until healed

The nurse will chart any wound drainage and report it to the physician

The stasis ulcer will have decreased redness and granulation tissue evident in 2 weeks. (correct)

The nurse is planning care for an older resident with an elevated blood pressure. What should the nurse identify as a goal for this resident's care.

The resident's blood pressure will be normal

The resident's blood pressure will not be elevated

The resident's blood pressure will be monitored three times a day for a week

The resident's blood pressure will be less than 160/90 mmHg in 1 week (correct)

The nurse prepares a care plan for a newly admitted older resident. What should be done with the plan at this time?

Reevaluate and update the plan based on the patient's need Signup and view all the answers

The nurse is asked to explain the nursing process. In which way should the nurse describe the nurse describe this process?

A problem-solving process Signup and view all the answers

The nurse reviews the medical diagnoses for an older patient. In which way should the nursing diagnoses identified for this patient differ from the medical diagnoses？

It describes the impact a specific disease has on a patient's activities Signup and view all the answers

The nurse reviews goals written for an older patient. Which aspect of a goal is missing from the statement"the resident will walk down the hall way every day?"

Measurability Signup and view all the answers

The nurse is identifying interventions for an older patient's plan of care. Why should the nurse ask the certified nursing assistants(CNAs) to help develop these intervention

They spend the most time with the resident Signup and view all the answers

An older resident is discharged to home. What should be done with this resident's plan of care?

Keep it with the medical record Signup and view all the answers

The nurse provides a resident with medication to aid with constipation. What should be included when documenting this intervention.

Resident's response Signup and view all the answers

The nurse is completing an admission assessment. What information should be included?

Nursing history Signup and view all the answers

The nurse is assessing a new resident. What should the nurse include when using the resident assessment instrument(RAI) Select all the apply

Minimum data set(MDS) Signup and view all the answers

The nurse is preparing to plan care for a newly admitted resident. What should be included during the planning phase of the nursing process? Select all that apply

Setting priorities Signup and view all the answers

The nurse is preparing a plan of care for an older patient. What should be included in the plan? Select all that apply

Problems Signup and view all the answers

The nurse is evaluating care provided to an older patient. What is the purpose of the evaluation phase of the nursing process? Select all that apply

Determine if goals are met Signup and view all the answers