Page 1 of 21 Nursing Process _ Davis Edge Nursing Study Guide 11/13/2026, 1:47:24 AM
Nursing Process
| Davis Edge
Nursing Study
Guide
Nursing Process _ Davis Edge Nursing Study Guide.pdf 1 of 21 Page 1
,Page 2 of 21 Nursing Process Davis Edge 11/13/2026, 1:47:24 AM
Which statement correctly identifies an outcome goal from the nursing diagnosis of
"potential for skin breakdown related to immobility"?
1.
The client will have increased mobility.
2.
The client will understand strategies for preventing skin breakdown.
3.
The client will be moved periodically throughout the shift.
4.
The client's skin will remain intact and healthy.
4.
The client's skin will remain intact and healthy.
Nursing Process Davis Edge.pdf 2 of 21 Page 2
, Page 3 of 21 Nursing Process Davis Edge 11/13/2026, 1:47:24 AM
A nurse has created a plan of care that involves assisting a client with ambulation. She
attempts to get the client out of bed, but the client is obese and unable to move without
pain. What action should the nurse take?
1.
Change the outcome goals.
2.
Document the attempt to ambulate the client.
3.
Request assistance with ambulating the client.
4.
Amend the nursing diagnosis and interventions.
3.
Request assistance with ambulating the client.
Nursing Process Davis Edge.pdf 3 of 21 Page 3
Nursing Process
| Davis Edge
Nursing Study
Guide
Nursing Process _ Davis Edge Nursing Study Guide.pdf 1 of 21 Page 1
,Page 2 of 21 Nursing Process Davis Edge 11/13/2026, 1:47:24 AM
Which statement correctly identifies an outcome goal from the nursing diagnosis of
"potential for skin breakdown related to immobility"?
1.
The client will have increased mobility.
2.
The client will understand strategies for preventing skin breakdown.
3.
The client will be moved periodically throughout the shift.
4.
The client's skin will remain intact and healthy.
4.
The client's skin will remain intact and healthy.
Nursing Process Davis Edge.pdf 2 of 21 Page 2
, Page 3 of 21 Nursing Process Davis Edge 11/13/2026, 1:47:24 AM
A nurse has created a plan of care that involves assisting a client with ambulation. She
attempts to get the client out of bed, but the client is obese and unable to move without
pain. What action should the nurse take?
1.
Change the outcome goals.
2.
Document the attempt to ambulate the client.
3.
Request assistance with ambulating the client.
4.
Amend the nursing diagnosis and interventions.
3.
Request assistance with ambulating the client.
Nursing Process Davis Edge.pdf 3 of 21 Page 3
