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Week 2

Planning

QuestionAnswer
The immobile patient has a goal of maintaining tissue integrity. Why does the nurse consult the Nursing Outcomes Classification (NOC) when evaluating the achievement of the goal? To determine the level of goal achievement
The patient is being scheduled for knee surgery. When does the nurse expect the care planning process to begin? When the patient is contacted by the office nurse to schedule surgery.
The patient is admitted after an automobile accident and now has paraplegia. Following Maslow’s Hierarchy of Needs, which nursing diagnosis has the highest priority? Impaired Urinary Elimination
A patient is admitted to the hospital with pneumonia. He has diabetes and a partial thickness pressure ulcer on his sacrum. He hasn’t had a bowel movement in 3 days. Which nursing diagnosis should be the highest priority? Impaired Gas Exchange
The nurse is identifying a goal related to weight loss for an obese patient. In order for the patient to be successful with the goal, what should the nurse do? Ask the patient what he would like to achieve.
The patient needs to lose 60 pounds. What should the nurse do? Consider the patient’s social and cultural factors that might be influencing her priorities.
What is an example of a long-term goal for the patient? Achieve wound healing in 3 weeks.
Why would the nurse use a conceptual care map (CCM) to develop a plan of care? Provides a quick, yet comprehensive, overview of the patient’s status and plan.
A nurse is discussing short-term goals with a patient in the rehab unit. Why is it important for the nurse to include the patient in the goal-setting phase? Provides motivation for the patient to achieve goals.
Created by: shid1851
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