CHAPTER 14 OUTCOME IDENTIFICATION AND PLANNING 77
Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:b.______ Mrs. Gray will know the dangers of
smoking after viewing a film on smoking.c. ______ By end of shift, patient ambulates
in hallway using crutches.d.______ By 2/7/12, patient correctly demon-
strates subcutaneous injections using nor-
mal saline.e.______ By next visit, the patient will
understand the benefits of psychotherapy.f. ______ By 6/12/12, patient correctly
demonstrates application of wet-to-dry
dressing on leg ulcer.9.Identify a patient goal that shows a direct
resolution of the health problem expressed
in the nursing diagnoses below.
a.Nursing diagnosis: Fluid Volume Deficit
related to decreased fluid intake during
fever
Patient goal:b.Nursing diagnosis: Altered Sexual Patterns:
Loss of Desire related to change in body
image and feelings of unattractiveness
following mastectomy
Patient goal:c. Nursing diagnosis: Stress Incontinence
related to age-related degenerative changes
and weak pelvic muscles and structural
supports
Patient goal:d.Nursing Diagnosis: Activity Intolerance
related to decreased amount of oxygenated
blood available to tissues
Patient goal:e.Nursing Diagnosis: Acute Postoperative
Pain related to fear of taking prescribed
analgesics
Patient goal:10.List six measures nurses should consider to
correctly plan healthcare for a patient.
a.
b.
c.
d.
e.
f.
11.Give four examples of questions a nurse
should ask when thinking critically about
setting priorities for a patient plan of care.
a.
b.
c.
d.APPLYING YOUR KNOWLEDGE
CRITICAL THINKING QUESTIONS
1.Think about what type of goals would be
appropriate in each of the three stages of
planning (initial planning, ongoing planning,
discharge planning) using the following
patient data.
a.A mother brings her 5-year-old son to the
emergency room. She says he has been run-
ning a low fever and complaining of abdom-
inal pain and headache. You notice his skin
is pale and there are several bruises on his
arms and legs. On examination, you notice
his spleen is enlarged and the abdominal
area is tender. A medical diagnosis confirms
the child has acute leukemia.
b.A 45-year-old man presents with low fever,
weight loss, chronic fatigue, and heavy
sweating at night. He has a productive
cough with yellowish mucus and chest
pain. A TB skin test comes back positive.LWBK696-C14_p72-78.qxd 9/2/10 9:26 AM Page 77 Aptara Inc