The nurse is planning care for a client with multiple lower ...

[nevelica]

The nurse is planning care for a client with multiple lower extremity fractures sustained from a motor vehicle crash. Which is an appropriate client goal for the nurse to include in the plan of care?
 
  A) Have an adequate urine output.
  B) Regain mobility.
  C) Participate in self-care activities.
  D) Discharge to home.

Question 2

Which observation indicates that interventions provided to a client with neck injuries from a motor vehicle crash have been successful?
 
  A) Urine is clear and odorless from indwelling catheter.
  B) Moves all four extremities independently, feeds self, and participates in partial bath
  C) Unable to move independently in bed
  D) Rests in bed with lights and television turned off

[Cheesycrackers]

Answer to Question 1

Answer: B

The client has sustained multiple lower extremity fractures. A goal of care for this client is for the client to regain mobility. An adequate urine output is important, but healing the client's fractures needs to be a goal of care. Participating in self-care activities and being discharged to home are also important; however, because the client sustained multiple fractures to the lower extremities, one goal of care must be focused on the client regaining mobility.

Answer to Question 2

Answer: B

The client sustained neck injuries from a motor vehicle accident. With these types of injuries, there is a risk for paralysis. Evidence that interventions have been successful for this client includes moving all four extremities independently, feeding self, and participating in partial bath care. This means the client has mobility, which is a successful outcome. The other observations indicate that the client is not yet recovered from the injuries or that interventions for the injuries have not yet been successful. The client who is in bed with the lights and television turned off might need additional psychosocial support.

[nevelica]

Excellent

[jackie]

Gracias!