The student nurse who is developing a plan of care for a ...

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The student nurse who is developing a plan of care for a postoperative patient who underwent abdominal surgery to remove a tumor. The student has chosen Risk for Infection as a nursing di-agnosis.
 
  Which of the following is the most appropriate goal for this diagnosis? a. The patient's wound drainage will de-crease in 2 days.
  b. The patient will report decrease in inci-sional pain by discharge.
  c. The progression of infection will be con-trolled or decreased.
  d. The patient will describe signs/symptoms of wound infection.

Question 2

After a practice change has taken place in an organization because of a nurse following evidence-based practice in a task force, which final step should the nurse take?
 
  a. Evaluate
  b. Encourage
  c. Engage
  d. Execute

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Answer to Question 1

C
In an acute care setting the goal for the diagnosis Risk for Infection is to control or decrease the progression of infection. An outcome is The patient's wound drainage will decrease in 2 days. Decreased incisional pain is an expectation postsurgically and not directly related to infection. Having the patient describe the signs/symptoms of infection will aid in early detection, but not in preventing infection.

Answer to Question 2

A
After applying evidence in practice, the next step is to evaluate the effect. Newhouse and White (2011) recommend that to be successful in changing practice within an organization, it is essential to Engage, Educate, Execute, and Evaluate. Engage and execute have already occurred because the change has taken place. Encourage is not a step in the evidence-based process.

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Thank you!

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Always glad to help...