Answer to Question 1
D
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A A client goal is not measurable along a continuum in response to a nursing intervention.
B A nursing diagnosis is not measurable along a continuum in response to a nursing intervention.
C A goal, not a nursing intervention, is time-limited.
D A nursing-sensitive client outcome is defined as an individual, family, or community, behaviour, or perception that is measurable along a continuum in response to a nursing intervention.
Answer to Question 2
A
A primary focus of intraoperative care is to prevent injury and complications related to anesthesia, surgery, positioning, and equipment use, including use of the electrical cautery grounding pad for prevention of burns. The perioperative nurse is an advocate for the patient during surgery and protects the patient's dignity and rights at all times. Evaluation of many goals and outcomes does not occur until after surgery. Signs and symptoms of infection do not have the time to present during the intraoperative phase. During the intraoperative phase, the patient is anesthetized and unconscious and typically has an endotracheal tube that prevents conversation and complaints. These complaints typically begin in the postoperative phase of the experience.
The river continuum.
The five overlapping phases of the nursing process. Each phase depends on the accuracy of the other
The Let-Down Response
Nursing: A Concept-Based Approach to Learning, Volume II, 3rd Edition
“Fight or Flight” Response
Hypersensitive Response