Based on the following outcome criterion determined by the nurse: “Cli

Based on the following outcome criterion determined by the nurse: “Client will independently complete necessary assessments prior to administration of digoxin (cardiotonic)” the nurse will evaluate the client’s ability to:

1. Assess the respiratory rate
2. Palpate the radial pulse
3. Review dietary habits
4. Inspect color of the skin

ANSWER

ANS: 2
The nurse should compare the established outcome criteria with the client’s behavior or response. In this case the client is expected to independently complete the necessary assessments before administration of digoxin. The client should be able to palpate the radial pulse as an assessment before administration of digoxin. The outcome criterion does not state anything about exercise. During evaluation, the nurse is to judge the degree of agreement between the outcome criteria and the client’s behavior. The outcome criterion does not state anything about diet. Evaluating whether the client reviews dietary habits would not be comparable to necessary assessment be-fore medication administration. The outcome criterion does not state anything about the skin. The nurse, who knows that digoxin is a cardiotonic, understands that the client should be assessing the heart rate.