Critical pathways are used to:

A) Keep clients within their length-of-stay criteria
B) Lead to successful client outcomes within the diagnostic related group
C) Maintain nursing standards
D) Outline procedures that are performed by all nursing personnel within the organization


B

Nursing

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The OR nurse is setting up a water-seal chest drainage system for a patient who has just had a thoracotomy. The nurse knows that the amount of suction in the system is determined by the water level. At what suction level should the nurse set the system?

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During the examination of an unconscious patient, the nurse observes that the patient's pupils are fixed and dilated. What is the most plausible clinical significance of the nurse's finding?

A) It suggests onset of metabolic problems. B) It indicates paralysis on the right side of the body. C) It indicates paralysis of cranial nerve X. D) It indicates an injury at the midbrain level.

Nursing