Which of the following is an outcome for a client with a broken ...

[burchfield96]

Which of the following is an outcome for a client with a broken leg?
 
  a. Client will develop an ambulation program within 1 month.
  b. Encourage client to ambulate with cast using crutches.
  c. Client asks, When will I walk again?
  d. Client experiences alteration in mobility related to a broken leg.

Question 2

A client who is scheduled for a bilateral inguinal hernia repair the next day is observed pacing the unit. After validating that the client is anxious about his upcoming surgery because he is afraid of pain, a relevant nursing diagnosis would be
 
  a. anxiety related to surgery.
  b. pain related to anxiety about surgery as evidenced by pacing.
  c. anxiety related to fear of postoperative pain as evidenced by pacing.
  d. pacing related to fear of postoperative pain.

[tranoy]

Answer to Question 1

ANS: A
Outcomes are goals that are measurable, achievable, and client centered. Ambulation is a nursing intervention. A question from the client is not an outcome; it is a question. Client experiences alteration in mobility related to a broken leg is part of a nursing diagnosis.

Answer to Question 2

ANS: C
Anxiety is the problem to be addressed. Related to connects the problem to the etiology (fear of pain). The third part of the statement identifies the clinical evidence (pacing) that supports the diagnosis. There are three parts to a nursing diagnosis, and the anxiety is related specifically to fear of pain after surgery. The problem to be addressed is the anxiety, not the pain, at this time. Pacing related to fear of postoperative pain contains only two parts to this statement. Pacing is the evidence, not the problem.

[burchfield96]

Excellent

[nathang24]

TYSM