
Concept explainers
To critique:
The goal and the outcomes that are set by Ms.T and to explain it if they were given correctly. Reword them correctly, if they are written incorrectly.
Case summary:
Ms.T is the staff nurse who is involved in care planning of Mr. L. The nursing diagnosis for Mr. L is acute pain related to the trauma of surgical incision. The goal of the nursing care is identified as “patient will use a relaxation technique after ambulation”; and the outcomes are “pain level below 4 and the incision does not splint within 48 hours of time when Mr.L is moving”. The interventions that are selected by Ms. T are administering the analgesics ordered, advanced relaxation, and splinting the incision when Mr.L gets out of bed.

Explanation of Solution
The goal which is stating that Mr.L will be using the relaxation technique after the process of ambulation is incorrect. It is an intervention process and the time frame is missing. The correct goal that should be given is “the patient is able to independently ambulate within 72 hours”. The given outcomes are inaccurate and the time in which the outcomes occur is not clear.
The improved outcomes can be as follows: patient will report pain below 4 in movement within 24 hours of time, the patient will not report any incision splint when moving within 24 hours. The other interventions of Ms.T can be giving priority to analgesics for decreasing the severity of pain and progressive relaxation to avoid splinting the incision during walking.
The goal and the outcomes identified by Ms.T are incorrect and need to be improved. Both of them are reworded and stated appropriately.
Want to see more full solutions like this?
Chapter 18 Solutions
Fundamentals of Nursing, 9e
- Describe practically how you would use a standing order in the diagnosis and treatment of a 10-year-old primary school pupil with a complaint of haematuria at the end of the urine.arrow_forwardSimple explanations, please. B. Why is an accurate diagnosis of malnutrition important? H. Is BMI a food indicator of malnutrition? I. Can an overweight/obese patient develop malnutrition? Why or why not?arrow_forwardHow is the severity of malnutrition determined based off the table? Simple explanation please.arrow_forward
- Discuss on: 1. Peptic Ulcer disease Aetiology 2. Classification of drugs used in the treatment of PUD 3. Triple therapy of PUD 4. Drugs Contraindicated in PUDarrow_forwardCATH LAB FUNDAMENTALS I WORKSHEET #2 Patient #1 NAME: AO 232/112 M CaO2 ml/L LV 232/25 CvO2 ml/L RA M 17 C.O. L/Min RV 61/17 S.V. ml/beat PA 61/25 M C.I. L/Min/M2 PAW M 25 S.I. ml/beat/M2 Hgb 10.3 S.V.R Dynes/sec/cm5 Hct % T.P.R Dynes/sec/cm5 PA Sat 56% P.V.R Dynes/sec/cm5 AO Sat 81% BSA M2 HR 113 BPM 02 Cons. 233 ml/min Ht _5_ft_10_in Wt. _330_lbs Patient#2 AO 78/46 M CaO2 ml/L LV 78/10 CvO2 ml/L RA M---7 C.O. L/Min RV 21/7 S.V. ml/beat PA 21/12 M C.I. L/Min/M2 PAW M- 12- S.I. S.V.R ml/beat/M2 Dynes/sec/cm5 Hct 45%…arrow_forwardPlease answer all questionsarrow_forward
- CATH LAB FUNDAMENTALS I WORKSHEET #3 Patient #1 AO 113/68 M CaO2 mi/L LV 113/15 CvO2 ml/L RA M9 C.O. L/Min RV 33/8 S.V. PA 33/16 M C.I. ml/beat L/Min/M2 PAW M 17 S.I. ml/beat/M2 Hgb 15.1 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 69% P.V.R Dynes/sec/cm³ AO Sat 90% BSA M² HR 83BPM 02 Cons. _215_ml/min Ht _5_ft_5_in Wt. _213_ lbs Patient #2 AO 155/92 M CaO2 ml/L LV 155/21 CvO2 ml/L RA M 12 C.O. L/Min RV 41/22 S.V. ml/beat PA 41/20 M C.I. L/Min/M2 PAW M 20 S.I. Hgb S.V.R Hct 39 % T.P.R ml/beat/M2 Dynes/sec/cm³ Dynes/sec/cm³ 3 PA Sat 65 % P.V.R Dynes/sec/cm³ AO Sat _91 % BSA M² HR 88 BPM 02 Cons. 360 ml/min Ht 5 ft 11 in Wt. 169 lbs NAME:arrow_forwardCATH LAB FUNDAMENTALS I WORKSHEET #1 Patient #1 AO 151/89 M CaO2 mV/L LV 151/25 CvO2 mV/L RA M 17 C.O. L/Min RV 61/17 S.V. ml/beat PA 61/25 M C.I. L/Min/M2 PAW M 25 S.I. ml/beat/M2 Hgb S.V.R Dynes/sec/cm³ Hct 45% T.P.R Dynes/sec/cm³ PA Sat 68% P.V.R Dynes/sec/cm³ AO Sat 92% BSA M² HR 89 BPM 02 Cons. 245 ml/min Ht _5_ft_7_in Wt. _235 lbs Patient #2 AO 121/61 M CaO2 ml/L LV 151/19 CvO2 ml/L RA M 15 C.O. L/Min RV 51/15 S.V. ml/beat PA 51/20 M C.I. L/Min/M2 PAW M 19 S.I. ml/beat/M2 Hgb 15.2 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 76% P.V.R Dynes/sec/cm³ AO Sat 99% BSA M² HR 79 BPM Ht 02 Cons. 213 ml/min _5_ft_10 in Wt. _ 185 lbs 1arrow_forwardCATH LAB FUNDAMENTALS I WORKSHEET #1 Patient #1 AO 151/89 M CaO2 mV/L LV 151/25 CvO2 mV/L RA M 17 C.O. L/Min RV 61/17 S.V. ml/beat PA 61/25 M C.I. L/Min/M2 PAW M 25 S.I. ml/beat/M2 Hgb S.V.R Dynes/sec/cm³ Hct 45% T.P.R Dynes/sec/cm³ PA Sat 68% P.V.R Dynes/sec/cm³ AO Sat 92% BSA M² HR 89 BPM 02 Cons. 245 ml/min Ht _5_ft_7_in Wt. _235 lbs Patient #2 AO 121/61 M CaO2 ml/L LV 151/19 CvO2 ml/L RA M 15 C.O. L/Min RV 51/15 S.V. ml/beat PA 51/20 M C.I. L/Min/M2 PAW M 19 S.I. ml/beat/M2 Hgb 15.2 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 76% P.V.R Dynes/sec/cm³ AO Sat 99% BSA M² HR 79 BPM Ht 02 Cons. 213 ml/min _5_ft_10 in Wt. _ 185 lbs 1arrow_forward
- CATH LAB FUNDAMENTALS I WORKSHEET #6 Patient #1 AO 199/110 M CaO2 ml/L LV 199/24 CvO2 ml/L RA M 16 C.O. L/Min RV 41/16 S.V. ml/beat PA 41/25 M C.I. L/Min/M2 PAW M 24 S.I. ml/beat/M2 Hgb 15.1 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 71% P.V.R Dynes/sec/cm³ AO Sat 96% BSA M² HR 61 BPM 02 Cons. Ht 216 ml/min 4_ft_11_in Wt. _171_lbs Patient #2 AO 101/62 M CaO2 ml/L LV 101/12 CvO2 ml/L RA M 5 C.O. L/Min RV 20/5 S.V. ml/beat PA 20/10 M C.I. L/Min/M2 PAW M 12 S.I. ml/beat/M2 Hgb S.V.R Dynes/sec/cm³ Hct 43% T.P.R Dynes/sec/cm³ PA Sat 75% P.V.R Dynes/sec/cm³ AO Sat 97% BSA M² HR 68 BPM O2 Cons. 235 ml/min Ht _5_ft_5 in Wt. 145 lbsarrow_forwardCATH LAB FUNDAMENTALS I WORKSHEET #5 Patient #1 AO 112/63 M CaO2 ml/L LV 112/12 CvO2 ml/L RA M 8 C.O. L/Min RV 25/8 S.V. ml/beat PA 25/13 M C.I. L/Min/M2 PAW M 13 S.I. ml/beat/M2 Hgb 14.8 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 76% P.V.R Dynes/sec/cm³ AO Sat 96% BSA M² HR 82 BPM O2 Cons. 241 ml/min Ht _5_ft_9_in Wt. _180 lbs Patient #2 AO 140/82 M CaO2 ml/L LV 140/15 CvO2 ml/L RA M 12 C.O. L/Min RV 31/12 S.V. ml/beat PA 31/15 M C.I. L/Min/M2 PAW M 15 S.I. ml/beat/M2 Hgb 13.6 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 74% P.V.R Dynes/sec/cm³ AO Sat 93% BSA M² HR 71 BPM 02 Cons. 290 ml/min Ht _5_ft_0 in Wt. 188 lbsarrow_forwardCATH LAB FUNDAMENTALS I WORKSHEET #6 Patient #1 AO 199/110 M CaO2 ml/L LV 199/24 CvO2 ml/L RA M 16 C.O. L/Min RV 41/16 S.V. ml/beat PA 41/25 M C.I. L/Min/M2 PAW M 24 S.I. ml/beat/M2 Hgb 15.1 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 71% P.V.R Dynes/sec/cm³ AO Sat 96% BSA M² HR 61 BPM 02 Cons. Ht 216 ml/min 4_ft_11_in Wt. _171_lbs Patient #2 AO 101/62 M CaO2 ml/L LV 101/12 CvO2 ml/L RA M 5 C.O. L/Min RV 20/5 S.V. ml/beat PA 20/10 M C.I. L/Min/M2 PAW M 12 S.I. ml/beat/M2 Hgb S.V.R Dynes/sec/cm³ Hct 43% T.P.R Dynes/sec/cm³ PA Sat 75% P.V.R Dynes/sec/cm³ AO Sat 97% BSA M² HR 68 BPM O2 Cons. 235 ml/min Ht _5_ft_5 in Wt. 145 lbsarrow_forward
- Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:SaundersFundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
- Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning





