Author Question: Which of the following expected outcomes is most correctly stated? a. The patient will ambulate ... (Read 69 times)

ghost! · **on:** Jul 22, 2018

Which of the following expected outcomes is most correctly stated?

a. The patient will ambulate the hall.
b. The patient will ambulate the hall three times.
c. The patient will ambulate the hall three times in a row.
d. In 2 days, the patient will ambulate the north hall of the unit up and down from the nurses' station three times in a row without assistance.

Question 2

The nurse is going to obtain a culture from a wound. Which of the following should the nurse do first?

a. Irrigate the wound with antiseptic before culturing.
b. Irrigate the wound with normal saline before culturing.
c. Culture any eschar there may be in the wound.
d. Culture the edges of the wound.

momo1250 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
An expected outcome is a description of the favorable patient status that is achieved when a prob-lem-focused nursing diagnosis has been resolved or positive adaptation has been enhanced. Clearly written outcome statements stipulate the patient's expected behavior or function within a specified time frame, rather than what the nursing interventions will accomplish. Some outcome statements require qualifiers or the conditions involved with the patient's activity.

Answer to Question 2

B
The wound should be irrigated with normal saline prior to culturing because it decreases the risk of culturing normal flora. Irrigating with an antiseptic prior to culturing may destroy the bacteria. The goal is to identify bacteria that are invading the tissues so slough or eschar should be avoided. The area of the wound with the most exudate should be cultured, near the center of the wound and not the edges.