After being admitted directly to the surgery unit, a 75-yearold client who had elective surgery to replace an arthritic hip was discharged from the postanesthesia recovery unit. The client has been on the orthopedic floor for several hours.Which type of planning will be least useful during the first shift on the orthopedic unit?

The client with a fractured pelvis requests that family members be allowed to stay overnight in the hospital room. Before determining whether or not this request can be honored, the nurse should consult which of the following?

The nurse assesses a postoperative client with an abdominal wound and finds the client drowsy when not aroused. The client’s pain is ranked 2 on a scale of 0 to 10, vital signs are within preoperative range, extremities are warm with good pulses but very dry skin. The client declines oral fluids due to nausea, and reports no bowel movement in the past 2 days. Hip dressing is dry with drains intact. Which element is most likely to be considered of high priority for a change in the current care plan?

The nurse selects the nursing diagnosis of Risk for Impaired Skin Integrity related to immobility, dry skin, and surgical incision. Which of the following represents a properly stated outcome/goal? The client will

The care plan includes a nursing intervention “4/2/11 Measure client’s fluid intake and output. F. Jenkins, RN.” What element of a proper nursing intervention has been omitted?

Place the following activities of planning in the correct order of their use. (Program does not allow option to move questions into order, so Do it mentally or on paper, default answer will be (A). Actual order will be given at the end or 3, 1, 4, 2)

The nurse recognizes which of the following as a benefit of using a standardized care plan?

Which of the following is likely to occur if the goal statement is poorly written?

When written properly, NOC outcomes and indicators

Which of the following principles does the nurse use in selecting interventions for the care plan?