A client did not meet the goal of walking unassisted, without assistive devices, by discharge from rehabilitation. The case manager using a critical pathway should identify this outcome as being which of the following?
1. An unattainable goal
2. A variance
3. An error in care planning
4. An error in intervention implementation
Correct Answer: 2
Rationale: Critical pathways are a multidisciplinary approach to planning and documenting client care. Flow sheets, as well as some types of charting by exception, are utilized in critical pathways. When a goal is not reached, it is not referred to as an unattainable goal because a change in the client's care plan may result in success.
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When listening to heart sounds, the nurse knows the valve closures that can be heard best at the base of the heart are:
a. Mitral and tricuspid. b. Tricuspid and aortic. c. Aortic and pulmonic. d. Mitral and pulmonic.
Erythropoietin is a hormone produced by the kidney. What will a deficiency of erythropoietin in a patient in chronic renal failure result in?
a. Diminished immunologic function with fewer white blood cells b. Elevated lipid levels in the bloodstream, contributing to accelerated atherosclerosis c. Anemia as a result of the diminished number of red blood cells being produced d. Hypertension as a result of the increased, concentrated blood volume
A client tells you that her mother was a twin, two of her sisters have twins, and several cousins either are twins or gave birth to twins. The client, too, is expecting twins
Because there is a genetic predisposition to twins in her family, there is a good chance that the cleint will have: 1. Dizygotic twins. 2. Monozygotic twins. 3. Identical twins. 4. Nonzygotic twins.
Heparin therapy is based on the patient’s body weight in kilograms. Which of the following represents the rate used for an IV bolus infusion?
A. 80 units/kg B. 65 units/kg C. 5 units/kg D. 18 units/kg