Author Question: When a client goal is unmet, which of the following nursing actions is most appropriate? 1. ... (Read 36 times)

rachel9 · **on:** Jul 23, 2018

When a client goal is unmet, which of the following nursing actions is most appropriate?

1. Reevaluation of the original client goal
2. Selection of new but appropriate interventions
3. Evaluation of the client's ability and motivation to be compliant
4. Repetition of the entire nursing process regarding the nursing diagnosis

Question 2

A nurse is providing care for a client receiving normal saline when the IV infiltrates. Which of the following nursing actions represents the evaluation phase of the nursing process?

1. IV is discontinued.
2. Warm compress applied to IV site.
3. Site reinspected for presence of swelling.
4. IV site observed as having significant swelling.

meganmoser117 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 4
When there is failure to achieve a goal, no matter what the reason, repeat the entire nursing pro-cess sequence for that nursing diagnosis to discover changes the plan needs. The remaining op-tions reflect individual elements within the nursing process.

Answer to Question 2

ANS: 3
Evaluation, the final step of the nursing process, is crucial to determine whether, after application of the nursing process, the client's condition or well-being improves. The remaining options rep-resent the assessment and implementation phases.