Answer to Question 1
Correct Answer: 3
Rationale 1: Short-term goals are those that the client can implement in the first few days following the rape such as devising a lost of support persons.
Rationale 2: Short-term goals are tthose that the client can implement in the first few days following the rape such as sharing feelings.
Rationale 3: Clients who have been raped may require extensive counseling and therapy work to deal with the assault. Since this is not immediately achievable, it is considered a ling term goal.
Rationale 4: Short-term goals are those that the client can implement in the first few days following the rape such as stating the signs and symptoms of physical trauma.
Answer to Question 2
Correct Answer: 1
Rationale 1: Initially, a client with a new colostomy must be aware of the signs and symptoms of skin breakdown and have a good knowledge base about basic skin care regimen. This should be accomplished before the client leaves the hospital in order to prevent problems at home.
Rationale 2: Normal bowel elimination patterns may not be present for some time, depending on the client's diet and activity level. This would be a long-term goal.
Rationale 3: Knowledge about what particular foods may cause problems for this client would be information the client gathers as time goes on.
Rationale 4: Overcoming body image changes for this client may take some time and this would be considered a long-term goal.
The nurse cares for the postop client in the postanesthesia care unit (PACU).
Home Health Nurse.
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The nurse begins the general survey