The nurse reviews the nurses’ notes, prescriptions, and laboratory results to determine effectiveness of interventions

QUESTION

K The nurse reviews the nurses’ notes, prescriptions, and laboratory results to determine effectiveness of interventions. For each assessment finding, click to indicate whether findings indicate the client’s condition has improved, has not changed, or has declined. Each row must have only one response option selected. Assessment Finding Improved No Change Declined Glucose 122 mg/dL O O O White blood cell count 26,000 O O O cells/mm Temperature 101.2 F (38.4.C) O O Pain rated 5 on 0-to-10 scale O O at rest Pain rated 10 on 0-to-10 scale O O when moving Skin is warm, red, and tender O O O

ANSWER

In the assessment findings, the nurse reviews various parameters to determine the effectiveness of interventions for the client. Here’s an analysis of each assessment finding:

1. Glucose 122 mg/dL: This finding is **improved**. A glucose level of 122 mg/dL suggests better glycemic control compared to higher levels, indicating an improvement in the client’s blood sugar regulation.

2. White blood cell count 26,000 cells/mm: This finding has **declined**. An elevated white blood cell count of 26,000 cells/mm indicates an increased presence of infection or inflammation, suggesting a decline in the client’s condition.

3. Temperature 101.2°F (38.4°C): This finding has **not changed**. A temperature of 101.2°F remains elevated and indicates the persistence of a fever, with no improvement noted.

4. Pain rated 5 on 0-to-10 scale at rest: This finding has **improved**. A pain rating of 5 on a 0-to-10 scale suggests a reduction in pain intensity when at rest, indicating an improvement in pain control.

5. Pain rated 10 on 0-to-10 scale when moving: This finding has **declined**. A pain rating of 10 on a 0-to-10 scale indicates severe pain when moving, suggesting a deterioration in the client’s comfort and mobility.

6. Skin is warm, red, and tender: This finding has **not changed**. The skin’s warmth, redness, and tenderness typically indicate inflammation or infection. The lack of change suggests that these symptoms persist.

In summary, while some assessment findings have improved, such as blood glucose and pain at rest, others have either not changed or have declined, particularly the white blood cell count, temperature, and pain when moving. These findings collectively provide valuable information to assess the overall condition of the client and guide further interventions and treatments.