A client is scheduled for elective hip replacement and will be admitted postoperatively to the orthopedic unit for care. What should the nurses use to help plan this client's care?
1. Informal nursing care plan
2. Formal nursing care plan
3. Standardized care plan
4. Individualized care plan
Correct Answer: 3
Rationale 1: An informal nursing care plan is a strategy for action that exists in the nurse's mind.
Rationale 2: A formal nursing care plan is a written or computerized guide that organizes information about the client's care.
Rationale 3: A standardized care plan is a formal plan that specifies the nursing care for groups of clients with common needs. For example, all clients undergoing hip replacement surgery would have basic, similar needs or problems such as pain, skin integrity disruption, risk for infection, decreased mobility, or risk for fall or injury.
Rationale 4: An individualized care plan is tailored to meet the unique needs of a specific client—needs not addressed by the standardized plan.
You might also like to view...
The nurse is assessing a client's postoperative wound and finds it has separated from the suture line with extrusion of the bowel through the opening. When documenting this finding, which term will the nurse use?
1. Wound infection 2. Wound dehiscence 3. Wound evisceration 4. Wound tunneling
The nurse is caring for a patient who is receiving an ECG. The nurse notes that leads I, II, and III differ from one another on the cardiac rhythm strip. Why is this?
A) The view of the electrical current changes in relation to the lead placement. B) Conduction of the heart differs with lead placement. C) Electrocardiogram (ECG) equipment has malfunctioned. D) The circadian rhythm has changed.
A major difference between starvation and stress is that metabolic rate _____ during starvation and _____ during stress
a. increases; decreases b. decreases; increases c. is unaffected; increases d. decreases; is unaffected
The client has been ordered to be treated with Ridaura. The nurse anticipates seeing an increased _____ in the client's laboratory results
a. fasting blood glucose b. liver enzyme tests c. potassium level d. calcium level