NSE 11A/B Chapter Notes - Chapter 23: Nursing Process, Pharmacology, Eval

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Client: ensure that client is comfortable physically and psychologically to perform the interventions - minimize chance of interruptions, if requested and possible, have a family member or friend present. Anticipating and preventing complications: use scientific rationale to prevent or minimize complications, helps the nurse select the most useful preventive measures. Identify area of assistance: ie: transfering overweight pt, ask for help from additional personnel to position client safely. Implementation skills: cognitive skills - have good judgement and make sound clinical decisions. Direct care: activities of daily living (adls): activities that are usually performed in the course of a normal day-- ie: ambulation, eating, dressing, bathing, brushing teeth and grooming. At this time, the nurse should also determine whether the goals, outcomes or both were realistic: evaluative measures are assessment skills or techniques that nurses use to collect data for evaluation. It sometimes becomes necessary to collect evaluative measures over time to determine whether a pattern of change exists.

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