A nurse writes the following outcomes for a patient who has ...

[karlynnae]

A nurse writes the following outcomes for a patient who has chronic obstructive pulmonary disease to improve activity level: Diastolic blood pressure will remain below 70 mm Hg with systolic below 130 mm Hg.
 
  Resting heart rate will range between 65 and 75. The last goal is that the patient will exercise 3 times a week. Which evaluative findings indicate successful goal achievement? (Select all that apply.)
  a. Resting heart rate 70
  b. Blood pressure 126/64
  c. Blood pressure 140/90
  d. Reports doing stretching and flexibility exercises 2 times this week
  e. Reports doing resistive training 1 time and aerobics 2 times this week

Question 2

A nurse is preparing to provide hygiene care. Which principle should the nurse consider when planning hygiene care?
 
  a. Hygiene care is always routine and expected.
  b. No two individuals perform hygiene in the same manner.
  c. It is important to standardize a patient's hygienic practices.
  d. During hygiene care do not take the time to learn about patient needs.

[reelove4eva]

Answer to Question 1

ANS: A, B, E
Compare actual outcomes with expected outcomes to determine the patient's health status and progression. Heart rate of 70 is between 65 and 75. Blood pressure 126/64 meets the goal. Did resistive training 1 time and aerobics 2 times equals exercising 3 times a week. Did stretching and flexibility exercises 2 times is below the 3 times a week. Blood pressure 140/90 is too high and does not meet the goal.

Answer to Question 2

ANS: B
No two individuals perform hygiene in the same manner; it is important to individualize the patient's care based on knowing about the patient's unique hygiene practices and preferences. Hygiene care is never routine; this care requires intimate contact with the patient and communication skills to promote the therapeutic relationship. In addition, during hygiene, the nurse should take time to learn about the patient's health promotion practices and needs, emotional needs, and health care education needs.

[karlynnae]

Excellent

[emsimon14]

TYSM