The nurse is using electronic care planning. He enters the patient's nursing diagnosis into the computer and chooses desired outcomes
He has validated his data, diagnosis, and goals. When he considers the list of interventions the program generates, he sees that none of them fit this patient's individual needs. What should the nurse do?
1) Reject them all and type in appropriate interventions.
2) Select the interventions from the program that are most suitable.
3) Ask another nurse to assess the patient and give her recommendation.
4) Restart the computer; it is probably a program malfunction.
ANS: 1
You might also like to view...
The morning nurse is assigned to care for a patient admitted during the night with rectal bleeding. When making rounds, the nurse observes that the patient's face is ashen in color and the skin is cool and clammy
The nurse auscultates the patient's heart and lungs. Which category of physical assessment is the basis for the nurse's response? a. Emergency b. Focused c. Complete d. Initial comprehensive
The professional caregiver who is knowledgeable about instrumental family rituals and routines:
1. Knows that to make any health promoting changes in families, these rituals and routines must be altered. 2. Knows that illness management does not alter rituals and routines. 3. Knows that successful intervention depends upon changing theses rituals and routines. 4. Knows that successful intervention depends upon incorporating new health-care practices into the family's rituals and routines.
Percussion over healthy lung tissue normally elicits which sound?
1) Tympany 2) Dullness 3) Resonance 4) Hyperresonance
A different approach to traditional hygienic care is the "bag bath." The best rationale for using this approach is because it is:
1. Less expensive than the traditional method 2. Takes less time to complete 3. Leaves the skin softer 4. Reduces the risk of infection