Practice Question
A nursing diagnosis of "Risk for Deficient Fluid Volume" related to excessive fluid loss, secondary to diarrhea and vomiting was implemented for a home health client who began with these symptoms 5 days ago. A goal was set that the client's symptoms would be eliminated within 48 hours. The client is being seen after a week and has had no diarrhea or vomiting for the past 5 days. What should the nurse do?
Answer Choices:
Correct Answer:
Document that the problem has been resolved and the goal has been met.
Rationale:
▶In the evaluation phase of the nursing process, if the set goal—elimination of diarrhea and vomiting within 48 hours—has been exceeded, and symptoms have resolved for five days, the nurse should formally close the problem on the care plan.
▶This demonstrates outcome achievement and effective nursing intervention.
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This question is from RN Fundamental Final Test~Exam_2 which contains 70 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4