In which location of the chart would the nurse most likely chart hourly urinary output for a patient?
a. Kardex c. flow sheet
b. care path d. critical pathway
C
The flow sheet contains all routine interventions that can be noted with a check mark or other simple code. This allows for quick comparison of measurements. The care path or critical pathways is a multidisciplinary form that identifies interventions and achievement of patient outcomes. The Kardex is a summary worksheet reference of basic patient care information and is not routinely a part of the medical record.
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Your patient is a 78-year-old male who has had outpatient surgery. You are getting him up for his first walk postoperatively. To decrease the potential for orthostatic hypotension, what should you plan to have the patient do?
A) Sit in a chair for 10 minutes prior to ambulating B) Drink plenty of fluids to increase circulating blood volume C) Stand upright for 2 to 3 minutes prior to ambulating D) Sit upright on the side of the bed for 15 minutes prior to ambulating
The nursing diagnosis that would have priority in the care of a client with agranulocytosis is
a. alteration in bowel elimination: Constipation due to iron overload. b. Impaired Gas Exchange due to low RBC count. c. potential for Impaired Skin Integrity due to poor nutritional status. d. Risk for Infection due to decreased leukocyte count.
When caring for a client with pelvic inflammatory disease (PID), nursing interventions will include:
A) having the client take sitz baths b.i.d. B) keeping the client on bed rest in a semi-Fowler's position. C) instructing client to use tampons. D) ambulating client frequently.
Symptoms of a disease are
A. noticed only by the patient. B. observed by others. C. risk factors for the development of a condition. D. the cause of the illness.