Which of the following is an example of a measurable outcome for the patient who has undergone a surgical procedure with a pain rating of 7 on a scale of 0 to 10?

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Question 1 of 5

Which of the following is an example of a measurable outcome for the patient who has undergone a surgical procedure with a pain rating of 7 on a scale of 0 to 10?

Correct Answer: D

Rationale: A measurable outcome specifies degree and time (D), e.g., pain to 2 or lower by shift’s end. A (under control) and C (decrease) are vague, B (no pain) is unrealistic, making D the precise, evaluable goal.

Question 2 of 5

An example of an intervention independently initiated by the nurse is

Correct Answer: A

Rationale: Teaching plans (A) are independent RN functions, unlike B, C, and D, which require physician orders (diet, labs, meds). A reflects RN autonomy, making it correct.

Question 3 of 5

A nurse is assisting with the implementation of a bowel training program for a client. For the program to be effective, the nurse should take the client to the bathroom at which of the following times?

Correct Answer: C

Rationale: Bowel training is most effective when timed to coincide with the client's natural urge to defecate, promoting a routine and reducing the risk of constipation or incontinence. Before meals (A) does not align with the natural defecation reflex, every 2 hours (B) ignores individual patterns, and after cramping (D) may indicate delayed response rather than optimal timing.

Question 4 of 5

Which action demonstrates that the nurse understands the purpose of the Rapid Response Team?

Correct Answer: C

Rationale: The Rapid Response Team (RRT) intervenes rapidly for clients beginning to decline clinically, such as a significant drop in blood pressure (52 mm Hg), to prevent respiratory or cardiac arrest. Monitoring postoperative status (A), maintaining a flow sheet (B), and reporting restlessness (D) are important but not specific to the RRT's purpose.

Question 5 of 5

Which action by the nurse demonstrates the best practice for nursing documentation on a computerized record?

Correct Answer: D

Rationale: Documenting at the point of care ensures accuracy and timeliness, the best practice for computerized records. Deleting errors (A) compromises integrity, red font (B) is non-standard, and end-of-shift summaries (C) risk omissions.

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