One responsibility of the RN in relation to the clinical pathway is to evaluate the effectiveness of the plan of care and the patient's progress toward discharge
Indicate whether the statement is true or false
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A clinical pathway is a standardized care map that defines nursing care, outcome criteria, and evaluation time frames for specific disorders. Clinical pathways are designed to manage the re-sources of the health care agency, as well as enable consistent, safe care for patients. A clinical pathway defines the standard assessment data and frequency of the collection of the data needed for a specific illness or surgical procedure. These data include medical diagnostic tests, laboratory results, and vital signs, as well as fluid intake and output, for example. The pathway time frame also includes assessment points with defined outcome criteria. The responsibility of the RN is to evaluate the effectiveness of the plan of care and the patient's progress toward dis-charge.
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A ventilator-dependent student joins the school and does not need a personal care attendant. Before providing care to the student, the nurse should:
1. Research tracheostomy-suctioning procedures. 2. Teach the teacher how to provide appropriate tracheostomy care. 3. Review the student's Individualized Health Care Plan (IHP) for other aspects of care that the student may need in addition to tracheostomy care. 4. Ask to have a joint conference with the parents, teachers, and school administrators about caring for this student.
A client has returned to the nursing unit after a prostatectomy. Which activities does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Demonstrating how to use the incentive spirometer b. Measuring and recording output from the in-dwelling catheter c. Encouraging the client to get out of bed and into the chair d. Irrigating the catheter with normal saline for blood clots e. Re-taping the catheter tape if the client reports pain
The nurse has completed a comprehensive assessment of a 16-year-old client who has been admitted for treatment for presumptive pelvic inflammatory disease. The client reported that she has been living on the streets with a 27-year-old male
She is curled up in the fetal position in bed, and when asked about her pain level, she cries out that she is in severe pain, that is "way over the top" of a 1-to-10 pain scale. She pulls away and flinches when any part of her body is touched. She is febrile and tachycardic. She has been examined and had all necessary labs sent off from the emergency department, and IV antibiotics were started. Since the client has already begun definitive medical treatment for her presumed infection, the nurse identifies the nursing diagnosis of acute pain related to possible pelvic inflammatory disease, and decides that this is the highest priority to address at this time. The appropriate outcome for this nursing diagnosis is: 1. The client's comfort will be achieved and maintained. 2. The client will be discharged to a safe living environment. 3. The client's infection will be eradicated. 4. The client will be reunited with her parents.
The patient has a history of cardiac disease and receives digoxin (Lanoxin). The nurse determines that education about dietary needs with this medication has been effective when the patient makes which selection for lunch?
1. Cottage cheese, peach salad, and blueberry pie 2. Baked fish, sweet potatoes, and banana pudding 3. Green bean soup, whole-wheat bread, and an apple 4. Hamburger, French fries, and chocolate chip cookies