The nurse case manager is working with a client admitted for end-stage renal disease. The case manager's major goal during this hospitalization is to:
a. Implement the care pathway on admission.
b. Provide direct nursing care throughout the hospitalization.
c. Supervise the nursing staff members who implement the care map.
d. Prevent additional hospitalizations result-ing from complications of the client's disease.
D
The goals and outcomes established in a critical pathway are designed to support the aims of case management, which are shortened hospital stays and prevention of hospital readmissions.
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A patient who has been diagnosed with a terminal disease refuses to accept the diagnosis and refuses to comply with treatment. What is the psychosocial purpose of this strategy?
A) The patient is trying to protect loved ones from the emotional effects of the illness. B) The patient is being noncompliant. C) The patient is afraid of treatment. D) The patient understands that treatment will have no benefit.
To calculate the desired hourly flow rate of an IV infusion, the nurse follows which of these steps?
a. Multiply the volume of fluid by the total infusion hours. b. Divide total volume by total infusion hours. c. Multiply drops per mL by the total infusion hours. d. Divide drops per mL by the total infusion hours.
An 85-year-old male who was hospitalized for a fractured hip develops difficulty breathing. The client has been receiving IV therapy for three days
When the nurse assesses the client, moist respirations are ausculated, a full bounding pulse and pedal edema are palpated and distended neck veins are noted. Based on the assessment, the nurse believes the most probable cause for the client's symptoms is: a. fluid overload. c. fat embolus. b. prolonged bed rest. d. inadequate diet.
Insensible water losses are those that occur as the result of water that is lost in:
A) Urine. B) Breathing and sweating. C) Urine and bowel movements. D) Vomitus and bowel movements.