A nurse delegates a position change to a nursing assistive ...

[krzymel]

A nurse delegates a position change to a nursing assistive personnel. The nurse instructs the NAP to place the patient in the lateral position. Which finding by the nurse indicates a correct outcome?
 
  a. Patient is lying on side.
  b. Patient is lying on back.
  c. Patient is lying semiprone.
  d. Patient is lying on abdomen.

Question 2

A nurse is evaluating care of an immobilized patient. Which action will the nurse take?
 
  a. Focus on whether the interdisciplinary team is satisfied with the care.
  b. Compare the patient's actual outcomes with the outcomes in the care plan.
  c. Involve primarily the patient's family and health care team to determine goal achievement.
  d. Use objective data solely in determining whether interventions have been successful.

[Kaytorgator]

Answer to Question 1

ANS: A
In the side-lying (or lateral) position the patient rests on the side with the major portion of body weight on the dependent hip and shoulder. Patients in the supine position rest on their backs. Sims' position is semiprone. The patient in the prone position lies face or chest down on the abdomen.

Answer to Question 2

ANS: B
From your perspective as the nurse, you are to evaluate outcomes and response to nursing care and compare the patient's actual outcomes with the outcomes selected during planning. Ask if the patient's expectations (subjective data) of care are being met, and use objective data to determine the success of interventions. Just as it was important to include the patient during the assessment and planning phase of the care plan, it is essential to have the patient's evaluation of the plan of care, not just the patient's family and health care team.

[krzymel]

Gracias!

[cassie_ragen]

Excellent