Author Question: When a nurse notices the client is in pain and needs to learn to walk on crutches, which outcome ... (Read 59 times)

elizabeth18 · **on:** Jul 22, 2018

When a nurse notices the client is in pain and needs to learn to walk on crutches, which outcome identification is the priority?

A) Crutch walking
B) Safe walking
C) Capillary refill
D) Pain management

Question 2

A nurse is preparing to write a nursing diagnosis for a client. Which activity would the nurse need to do first?

A) identify the significant data
B) cluster the cues
C) synthesize cue clusters
D) validate the diagnosis

catron30 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

Ans: D
Feedback:
In this scenario, pain management is the priority. In outcome identification, activities performed include establishing priorities.

Answer to Question 2

Ans: A
Feedback:
The first step is to look at the data for cues. Significant data or cues will then be clustered. During cue clustering, critical thinking is used to analyze and synthesize the cues; that is, how they fit into a particular problem. The cues are then put together to form meaningful clusters that describe specific client problems. Cluster interpretation involves synthesizing the cue clusters; that is, to see the whole picture and attach meaning to the cluster. Once the nursing diagnosis is selected, it should be validated with the client.