Author Question: Which of the following nursing notes demonstrates the best evaluation of nursing interventions ... (Read 72 times)

Alygatorr01285 · **on:** Jul 23, 2018

Which of the following nursing notes demonstrates the best evaluation of nursing interventions regarding the care provided?

1. Pressure ulcer located on left heel has shown improvement.
2. Pressure ulcer located on left heel has responded to treatment.
3. Pressure ulcer on left heel is no longer producing purulent drainage.
4. Pressure ulcer on left heel has not enlarged in size within the last 24 hours.

Question 2

The nurse has identified a nursing diagnosis of knowledge deficit regarding the need to monitor blood glucose levels daily. Which of the following statements best reflects the client's under-standing of the need for therapy?

1. Client agrees to test blood glucose levels 4 times a day.
2. Client records blood glucose levels for a 3-week period.
3. Client is observed testing his blood glucose level before breakfast.
4. Client is able to demonstrate the proper technique for performing a finger stick.

Sassygurl126 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 3
In many clinical situations it is important to collect evaluative measures over a period of time to determine if a pattern of improvement or change exists. The absence of purulent drainage indi-cates successful nursing interventions while the other options either fail to provide measurable data regarding the wound or indicate no improvement.

Answer to Question 2

ANS: 2
During the planning phase of the nursing process it is important for you to select an observable client state, behavior, or self-reported perception that will reflect goal achievement. The actual written result of regular blood glucose monitoring is the best indicator of the client's under-standing of the importance of regular testing. The remaining options may show initial willingness or ability to perform the test but do not show consistent compliance.