A patient with limited mobility is at risk for pressure injury. Which outcome is written in the best measurable form?
Correct answer: C. Patient's skin will remain intact during hospitalisation
- A. Patient will have improved skin integrity
- B. Patient will understand pressure injury prevention
- C. Patient's skin will remain intact during hospitalisation
- D. Nurse will reposition the patient regularly
Explanation
A measurable outcome identifies the patient response and a time frame, such as intact skin during hospitalisation. The first two statements are vague, while the fourth describes a nursing action rather than a patient outcome.
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About Nursing Process and Health Assessment
Assessment gathers subjective and objective data through health history, physical examination and observation. The nursing process then uses nursing diagnoses, planning, implementation and evaluation to provide individualised care, while distinguishing a nursing diagnosis from a medical diagnosis and identifying priorities such as airway, breathing, circulation and safety.
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