Answer to Question 1
B
Documentation of a discontinued care plan ensures that other nurses will not unnecessarily con-tinue interventions for that portion of the plan of care.
Continuity of care assumes that care provided to clients is relevant and timely.
Discontinuing unmet outcomes is not a primary reason for documenting discontinued portions of the care plan. Unmet outcomes need to be re-evaluated to continue intervention.
The goal To minimize ineffective communication among the nursing staff relates to potential nursing outcomes relating to poor documentation of care plan editing.
Answer to Question 2
C
The nurse conducts evaluation measures to determine if the expected outcomes have been met, not to verify that nursing interventions have been completed. The decrease in size of the pressure ulcer best evaluates the effectiveness of this intervention.
The statement No additional pressure ulcers are noted over a 1-week period does not relate to evaluating the specific intervention.
The statement Client expresses a decrease in pressure-ulcer-related pain within 1 week relates to the client's opinion.
The statement The turning schedule is initiated to reflect appropriate positioning for a 1-week period relates to the implementation of the intervention.
Primary and secondary immune responses.
Client receiving hemodialysis.
A fire safety plan like RACE saves lives.
Client files are kept in alphabetical order in locked file cabinets.
Testing client’s ability to identify sharp sensations
Testing the Achilles tendon reflex with client in a supine position