The neonatal intensive care nurse implements several actions to prevent further complications in a newly admitted, premature infant. The nurse finds these actions in what type of document?
1. Standardized care plan
2. Protocol
3. Standards of care
4. Policy and procedure manual
Correct Answer: 2
Rationale 1: Standardized care plans are preprinted guides for the nursing care of a client who has a need that arises frequently in the agency–or all nursing diagnoses associated with a particular medical condition. In this situation, the nurse is not working from the written care plan, since the baby has just been admitted.
Rationale 2: Protocols are preprinted to indicate the actions commonly required for a particular group of clients (in this case, premature infants). Protocols may include both physicians' orders and nursing interventions.
Rationale 3: Standards of care describe nursing actions for clients with similar medical conditions rather than individuals, and they describe achievable rather than ideal nursing care.
Rationale 4: Policies and procedures are developed to govern the handling of frequently occurring situations.
You might also like to view...
A 72-year-old patient is being treated for an infected right great toe. In reviewing this patient's history, you have discovered the patient has decreased renal function. Should this patient be started on aminoglycosides?
1. Yes, because this antibiotic can be taken with many other drugs. 2. No, because this antibiotic is not broad-spectrum. 3. Yes, because there is less sensitivity with this drug. 4. No, because a specific tissue reaction has been identified.
A patient who has been experiencing memory deficits questions the nurse about foods that are associated with better memory. What selections are linked to enhanced memory? (Select all that apply.)
a. Salmon b. Red meat c. Pork loin d. Leafy green vegetables e. Fruits
What is grief a normal response to? (Select all that apply.)
a. Loss of loved ones b. Loss of professional roles c. Loss of dependence d. Loss of health e. Loss of relationships
A nurse is preparing to make a consult. In which order, beginning with the first step, will the nurse take?
1. Identify the problem. 2. Discuss the findings and recommendation. 3. Provide the consultant with relevant information about the problem. 4. Contact the right professional, with the appropriate knowledge and expertise. 5. Avoid bias by not providing a lot of information based on opinion to the consultant. a. 1, 4, 3, 5, 2 b. 4, 1, 3, 2, 5 c. 1, 4, 5, 3, 2 d. 4, 3, 1, 5, 2