The nurse is using electronic care planning. He enters the patient's nursing diagnosis into the computer and chooses desired outcomes. He has validated his data, diagnosis, and goals
When he considers the list of interventions that the program generates, he sees that none of them fits this patient's individual needs. What should the nurse do?
a. Reject them all and type in appropriate interventions.
b. Select the interventions from the program that are most suitable.
c. Ask another nurse to assess the patient and give her recommendation.
d. Restart the computer; it is probably a program malfunction.
A
The nurse can reject all the suggested interventions if they do not address patient needs. Nearly all computer programs have a screen that allows you to type in interventions and nursing orders. It is the nurse's responsibility to choose interventions: He cannot abdicate this responsibility and let the computer "choose." As a professional, this nurse has already validated the data, nursing diagnosis, and goals, so he can feel reasonably certain that there is nothing wrong with the plan to that point. Although consultation with other nurses may be a wise and prudent step to take at times, the nurse caring for the patient would likely have the most familiarity with the healthcare needs and is in a better position to make sound judgments than another nurse who does not know the patient. Therefore, it might not be productive or efficient to consult another nurse or restart the computer.
You might also like to view...
What should the nurse do when preparing the patient for an amniocentesis?
a. Restrict food intake b. Restrict fluid intake c. Monitor fetal heart tones d. Inform patient results will be available immediately
A female patient taking a fertility drug is at risk for developing ovarian hyperstimulation syn-drome (OHSS). What symptom may manifest as a result of this syndrome?
a. Ascites b. Excessive urination c. Hypertension d. Bone pain
All of the following statements are common in a culture of blame EXCEPT
A. "The new nurse never restocks the med cart." B. "If he had paid attention during the staff meeting, he would know how to use the glucometer." C. "I need a few more minutes to finish documenting." D. "The reason the patient didn't get her pain medicine right away is because the nurse took too long with his admission."
The nurse is caring for a patient starting INH for latent tuberculosis. Which clinical manifestations would most concern the nurse?
a. Cramps in the back when walking up steps b. Headaches and lightheadedness on awakening c. Dry mouth and difficulty swallowing solids d. Difficulty buttoning shirts