After report the nurse reviews a standardized care plan for an assigned client. Where should the nurse find the current active problems identified for the client?
1. Look at the problem list area on the Kardex
2. Read the notes written about specific problems
3. Ask the charge nurse where the problems are located
4. Identify the areas with check marks placed on the care plan
4
Rationale 1: The Kardex is not used to identify current problems identified on a standardized care plan.
Rationale 2: Reading the notes written about the client's problems would be time-consuming and potentially inaccurate.
Rationale 3: It is not the charge nurse's responsibility to know where active problems are documented.
Rationale 4: On a standardized care plan the problems with check marks are those which are the most current and active for a client.
Global Rationale: On a standardized care plan the problems with check marks are those which are the most current and active for a client.The Kardex is not used to identify current problems identified on a standardized care plan. Reading the notes written about the client's problems would be time-consuming and potentially inaccurate. It is not the charge nurse's responsibility to know where active problems are documented.
You might also like to view...
The nurse is caring for clients with spinal deformities. Which type of deformity would the nurse prioritize as having the most significant consequences on the respiratory system?
A) Kyphosis B) Spinal fusion C) Scoliosis D) Lordosis
You are caring for a newborn who has a nursing diagnosis of "Risk for hypothermia related to prematurity, abnormal disorders at birth, and/or exposure to cool environments"
Your plan of care should include which of the following? (Select all that apply.) a. Provide a neutral thermal environment. b. Prevent conditions that precipitate cold stress. c. Teach mother proper breastfeeding technique. d. Teach the breastfeeding mother proper care of her nipples. e. Identify the infant at risk for potential or actual temperature instability. f. Teach parents how to maintain the infant's temperature.
The top number on a fraction, which represents parts of the whole, is the
A. numerator. B. least common denominator. C. equivalent fractions. D. denominator.
During which stage of NREM sleep would you expect a client to be most difficult to arouse:
c) Stage III d) Stage IV