The LPN/LVN learns at report that a patient's priority problems ...

[Charlie]

The LPN/LVN learns at report that a patient's priority problems are pain and inability to ambulate associated with arthritis. During the patient's bath, he becomes short of breath. The LPN/LVN should implement interventions based on
 
  a. the priorities given at the report.
  b. the patient's identified strengths.
  c. the patient's changing status.
  d. information obtained from the Nursing Outcomes Classification (NOC) project.

Question 2

Identify the outcome that would be appropriate to include in the nursing care plan of a patient who has undergone total knee replacement.
 
  a. The patient will be stronger by (date).
  b. The patient will transfer from the bed to a chair with the assistance of a walker and one staff member by the third postoperative day.
  c. The nurse will help the patient ambulate the length of the hall twice daily.
  d. The nurse will evaluate the patient's strength based on his ability to ambulate in the hall on the first postoperative day.

[Madisongo23]

Answer to Question 1

ANS: C
Status changes are a priority. Priorities may change rapidly, depending on the patient's condition. This change challenges survival and assumes priority over the other identified problems.

Answer to Question 2

ANS: B
The patient will transfer from the bed to a chair with the assistance of a walker and one staff member by the third postoperative day contains the elements necessary for a well-written outcome. It is patient centered, realistic, measurable, and time referenced. The patient will be stronger by (date) is not measurable. The remaining options are nurse centered.