An appropriately written goal statement for the nursing diagnosis ...

[vinney12]

An appropriately written goal statement for the nursing diagnosis Fluid volume deficit, related to active fluid loss, secondary to diarrhea would be:
 
  1. Client will drink more fluids by tomorrow.
  2. Client will have good skin turgor.
  3. Client will have moist mucous membranes.
  4. Client will have intake of at least 1000 mL within 24 hours.

Question 2

According to the care plan, the client is to receive chest physiotherapy twice daily. The client lives alone in a rural area, does not drive, and is 40 miles away from a hospital. When setting priorities, the home health nurse will:
 
  1. Make sure that he or she is able to get to the client's home.
  2. Assist the client in finding an alternative plan for the achieving the therapy's outcomes.
  3. Tell the client that this therapy will be impossible to receive.
  4. Make arrangements to have the client moved to a long-term care facility.

[okolip]

Answer to Question 1

Correct Answer: 4
Rationale: The goal statement must be specific with observable outcomes in order for the nurse to evaluate client progress. Modifiers like more could be more specific.

Answer to Question 2

Correct Answer: 2
Rationale 1: Driving 80 miles two times a day may not be feasible, but perhaps there are other alternatives that could be considered.
Rationale 2: The nurse must consider a variety of factors when assigning priorities, including resources available to the nurse and client. Factors in this case include the distance between the client's home and the hospital and the fact that therapy is ordered on a twice daily basis. Driving 80 miles two times a day may not be feasible, but perhaps there are other alternatives that could be considered (e.g., a neighbor who might be willing to drive the client, or someone in the area who may be able to assist with the therapy).
Rationale 3: Telling the client that the therapy is impossible is premature at this point in time.
Rationale 4: Making arrangements for the client to move is premature at this point in time.

[vinney12]

Thanks

[okolip]

Welcome