Author Question: Which of the following is measurable along a continuum in response to a nursing intervention? a. ... (Read 72 times)

acc299 · **on:** Jul 22, 2018

Which of the following is measurable along a continuum in response to a nursing intervention?

a. Client goal
b. Nursing diagnosis
c. Time-limited nursing intervention
d. Nursing-sensitive client outcome

Question 2

The nurse is caring for a patient in the operating suite. Which of the following outcomes would be most appropriate for this patient?

a. At the end of the intraoperative phase, the patient will be free of burns at the grounding pad.
b. At the end of the intraoperative phase, the patient will be free of infection.
c. At the end of the intraoperative phase, the patient will be free of nausea and vomiting.
d. At the end of the intraoperative phase, the patient will be free of pain.

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

Answer to Question 1

D

Feedback
A A client goal is not measurable along a continuum in response to a nursing intervention.
B A nursing diagnosis is not measurable along a continuum in response to a nursing intervention.
C A goal, not a nursing intervention, is time-limited.
D A nursing-sensitive client outcome is defined as an individual, family, or community, behaviour, or perception that is measurable along a continuum in response to a nursing intervention.

Answer to Question 2

A
A primary focus of intraoperative care is to prevent injury and complications related to anesthesia, surgery, positioning, and equipment use, including use of the electrical cautery grounding pad for prevention of burns. The perioperative nurse is an advocate for the patient during surgery and protects the patient's dignity and rights at all times. Evaluation of many goals and outcomes does not occur until after surgery. Signs and symptoms of infection do not have the time to present during the intraoperative phase. During the intraoperative phase, the patient is anesthetized and unconscious and typically has an endotracheal tube that prevents conversation and complaints. These complaints typically begin in the postoperative phase of the experience.