A hospital is considering implementing the use of critical pathways and case management
Which statements by a nurse would indicate to the nurse manager that more education should be provided? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "If we use critical pathways, we won't have physical therapy to help us ambulate clients."
2. "If a client is not able to follow the critical pathway, a variance will be written."
3. "The critical pathway lists discharge outcomes but won't help us with day-to-day guidance of care."
4. "Once the client is on a critical pathway, we must follow it until discharge."
5. "Using critical pathways will help us reduce length of stay and costs to the client."
1,3,4
Rationale 1: Critical pathways are designed to direct the care of many disciplines. There is no reason to believe that physical therapy will no longer be available to help with client ambulation.
Rationale 2: Variances are written when the client is not making progress according to the critical pathway.
Rationale 3: The critical pathway orients staff to the outcomes that should be achieved by the client each day.
Rationale 4: If the client has variance from the critical pathway, it may be revised.
Rationale 5: Critical paths use resources appropriate to the care needed, and thereby reduce cost and length of stay.
Global Rationale:
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The Department of Nursing with a health care organization is planning steps that reflect the Joint Commission's recommendations for cultural competence. What will the nursing department include in these steps?Select all that apply.Note: Credit will be given only if all correct choices and no incorrect choices are selected.
A. Value diversity B. Assess themselves C. Manage difference D. Acquire cultural knowledge E. Hire staff from different cultures
A patient who suffered an ischemic stroke now has disturbed sensory perception. What should the nurse caring for this patient be aware of?
A) The patient should be approached on the side where visual perception is intact. B) Attention to the affected side should be minimized. C) The patient should avoid repetitious turning of his head in the direction of the defective visual field in order to minimize shoulder subluxation. D) The patient should be approached on the opposite side of where the visual perception is intact in order to increase perception and vision.
Before administering an otic antibiotic, the nurse should:
a. cool the solution to room temperature. b. don sterile gloves. c. Have the client lie down in a prone position. d. position the client on the unaffected side.
The majority of breast cancers in men are located in which location?
1) Just right or left of the sternal notch 2) In the tail of Spence 3) In the areola 4) At the seventh intercostal space