A patient is admitted with coronary artery disease and is scheduled for coronary artery bypass grafting (CABG)
According to the clinical pathway the patient should be extubated and discharged from critical care the day after surgery. During surgery the patient's oxygen saturation decreased drastically as a result of chronic tobacco abuse. Subsequently, the patient remained on the ventilator an additional 2 days postoperatively. According to the clinical practice guideline for CABG, this situation represents a:
a. patient outcome.
b. variance.
c. goal.
d. standard.
ANS: B
Correct: A variance is a deviation from the planned path.
Incorrect:
a. The patient outcome is the end result of care, not just a single specific incident or deviation.
c. The goal is to provide high-quality, cost-effective care.
d. A standard is the criterion from which safe, effective care is derived.
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Which is the most important goal for the plan of care to help this man achieve his optimal state of health and wellness? a. Maintain skin integrity of right arm. b. Collaborate with occupational therapy (OT). c. Promote plaque-reversing strategies. d. Support effective coping mechanisms.
The 1-day postoperative ileostomy patient is concerned about the fact that there has been no drainage from the ileostomy. The nurse reminds the patient that (select all that apply):
1. the drainage does not start until about 24 to 48 hours postsurgery. 2. the first drainage will have blood in it. 3. mucus will be obvious in the early drainage. 4. the first drainage is expelled with a great deal of force. 5. a large amount of flatus will accompany the first drainage.
The presence of a fishy odor after adding potassium hydroxide to a wet mount slide containing vaginal mucus suggests:
a. bacterial vaginosis. b. yeast infection. c. chlamydial infection. d. pregnancy.
The nurse is going to perform range of motion exercises on a patient. Which of the following is incorrect for the nurse to do?
a. Start at the patient's foot and move to the head. b. The head should be rotated 1/4 turn from side to side and then flexed and extended. c. The arms should be flexed and extended and adducted and abducted. d. Do not flex, extend, rotate, abduct, or adduct a joint if the patient complains of discomfort.