Author Question: A client is unconscious and unable to provide input into outcome identification. With which group of ... (Read 161 times)

Davideckstein7 · **on:** Jul 22, 2018

A client is unconscious and unable to provide input into outcome identification. With which group of individuals should the nurse consult for the formulation of goals and measurable outcomes?

A) Family
B) Physical therapists
C) Occupational therapists
D) Pharmacists

Question 2

Which assessment finding would support the nursing diagnosis of Acute Pain? Select all that apply.

A) The client had an abdominal hysterectomy 1 day ago.
B) The client is crying in pain about 20 minutes before her pain medicine is due.
C) The client has a history of osteoarthritis.
D) The client had back surgery 2 years ago and expresses the need for ibuprofen on most days.
E) The client is a heavy cigarette smoker.

nmyers · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

Ans: A
Feedback:
The family is aware of the client's past experiences and accomplishments. Thus, the nurse should allow for the involvement of support people, particularly family.

Answer to Question 2

Ans: A, B
Feedback:
The client crying in pain one day after surgery would be expected and lead to a nursing diagnosis of Acute Pain. Although the client likely experiences pain from the past back surgery and osteoarthritis, it would not support the diagnosis of Acute Pain. The smoking history does not support the diagnosis.