The nurse knows that standardized care plans may be available and:
a. need to be individualized for each patient.
b. are implemented without adjustment.
c. remove the need for nurse involvement.
d. do not require the use of nursing diagnoses.
ANS: A
There are multiple formats in which to develop individualized care plans for patients, families, and communities. Each health care agency has its own form, including electronic formats, to facilitate the documentation of patient goals and individualized patient-centered plans of care. All formats contain areas in which the nurse identifies key assessment data, nursing diagnostic statements, goals, interventions for care, and evaluation of outcomes. In many agencies and specialty units, standardized care plans that must be individualized for each patient are available to guide nurses in the planning process.
You might also like to view...
The nurse appropriately delegates care of her patient to the properly trained UAP when she: (Select all that apply.)
a. assigns the UAP to reposition the patient. b. assigns the UAP to complete the MORSE falls risk scale. c. assigns the UAP to provide range-of-motion exercises. d. assigns the UAP to ambulate the patient in the hallway.
A patient's injury has initiated an immune response that involves inflammation. What are the first cells to arrive at a site of inflammation?
A) Eosinophils B) Red blood cells C) Lymphocytes D) Neutrophils
A client with multiple myeloma has been started on filgrastim (Neupogen) for treatment of neutropenia. The nurse identifies the drug is being effective when:
1. The client no longer has bone pain. 2. The client is no longer hypotensive. 3. An increase in the white blood cell count occurs. 4. The hemoglobin level is within normal limits.
You are caring for a patient on the oncology floor with a diagnosis of metastatic brain cancer. During your assessment, you note the patient complains of abdominal pain. Skin turgor indicates dehydration is present
What would you further assess for in this patient? A) Hypernatremia B) Hypomagnesemia C) Hypophosphatemia D) Hypercalcemia