Fundamentals of Nursing
Quiz 14 :
Implementing and Evaluating
The general conclusions which can be made about the desired outcomes for ineffective airway clearance and anxiety are stated below: The conclusions regarding respiratory status or gas exchange are listed below. 1. In most of the desired outcomes, goals were not met or partially met. Therefore, modification of the nursing care is required. 2. Only desired outcome in which the goal was met was the productive cough generation. 3. In the rest of the desired outcomes, goals were not met in half of the cases and partially met in the half of the cases. Therefore, the nursing care plan was a failure regarding respiratory aspects of the study. The other nursing plan should be used. Even the modified version of this nursing plan should not be attempted. The conclusions that can be made regarding anxiety are listed below. 1. In most of the desired outcomes, the goals were met. 2. Only the respiratory rate was not controlled. 3. The desired outcome of free expression of concern and solutions about the work and parenting was not achieved.
A nurse carries out the required interventions during the implementation phase. After analyzing the client the nurse uses the nursing interventions classification (NIC) terminology to carry out the implementation process. Determining the assistance required is the second step in nursing intervention. Carrying out nursing intervention is followed by the second step if appropriate. The last step is to document the interventions to maintain the records. Hence, the options 1, 2 and 4 are incorrect. Reassessing the client is the first required intervention. When a patient or client is analyzed and assessed, then it becomes easier for the nurse to initiate the treatment. The interventions then take the shape of treatment. Hence, the correct answer is option .
Despite some of the outcomes being not met or partially met, no new intervention was written for several outcomes. According to the evaluation checklist of care plan, a new intervention is written only if the nurse thinks it to be relevant to the care plan. This is found in a few cases in the nursing care plan because the nurse did not feel the need to write the intervention for new goals. In such cases, nurses assume that the other entries are self-explanatory. If the new intervention is not required and can be corrected through early intervention, it is not written. Hence, the new intervention of the previous desired outcome will be sufficient to have an impact on the succeeding outcome intervention, as the result of one outcome will affect the outcome of the following outcome.