A client is admitted for a scheduled, elective hip replacement and will be cared for on a unit that specializes in such surgeries. The client's plan of care would most likely be taken from which of the following?
1. Informal nursing care plan
2. Formal nursing care plan
3. Standardized care plan
4. Individualized care plan
Correct Answer: 3
Rationale 1: An informal nursing care plan is a strategy for action that exists in the nurse's mind.
Rationale 2: A formal nursing care plan is a written or computerized guide that organizes information about the client's care.
Rationale 3: A standardized care plan is a formal plan that specifies the nursing care for groups of clients with common needs. For example, all clients undergoing hip replacement surgery would have basic, similar needs or problems such as pain, skin integrity disruption, risk for infection, decreased mobility, or risk for fall or injury.
Rationale 4: An individualized care plan is tailored to meet the unique needs of a specific client-needs not addressed by the standardized plan.
You might also like to view...
The nurse is caring for a recently diagnosed patient with myasthenia gravis whose CT scan reveals an enlarged thymus gland
Which additional assessment parameter should the nurse complete to confirm the diagnosis of myasthenia gravis? A) Passive range of motion of the neck B) Check of deep tendon reflexes C) Application of painful stimuli to legs D) Visual screening using the Snellen chart
Which of the following is the most beneficial aspect of electronic documentation systems?
1) Assist collaboration 2) Provide cautionary reminders 3) Improve legibility 4) Serve as a resource
The nurse is aware that peak physical performance begins to decline
a. in the late teens c. in the late thirties b. in the late twenties d. in the late forties
Which characteristic of a palpable node may be associated with a malignancy?
A) The consistency is soft. B) There is tenderness. C) It is fixed. D) It is round.