A nurse is collecting data from a client who is at the end of life. Which of the following findings should the nurse expect?

Explanation:

A. Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) website:

This is a credible source for information related to women's health, obstetrics, and neonatal care. AWHONN is a reputable organization in the healthcare field, and their website likely provides evidence-based information and resources.

B. A pamphlet about hypoglycemia from the American Diabetes Association Cumulative Index of Nursing and Allied Health Literature (CINAHL) website:

CINAHL is a reputable database for nursing and allied health literature. Pamphlets or articles from organizations like the American Diabetes Association are generally considered credible sources of information, especially when they are based on scientific evidence and research.

C. A magazine article about healthcare trends authored by a journalist:

While magazine articles can sometimes provide valuable insights, they are generally not considered as credible as information from professional organizations, peer-reviewed journals, or government agencies. Journalists may not always have the same level of expertise or access to scientific research as healthcare professionals.

D. American Association of Critical Care Nurses (AACN) website:

The AACN is a respected organization in critical care nursing, and their website is likely a credible source for information related to critical care nursing practices, guidelines, and research.

E. Agency for Healthcare Research and Quality (AHRQ) website:

The AHRQ is a federal agency that conducts research and provides evidence-based information and guidelines related to healthcare quality, safety, and effectiveness. Their website is considered a highly credible source for healthcare information.

Explanation:

A. Data collection:

Data collection is the initial step of the nursing process where the nurse gathers information about the client's health status, including physical, psychological, social, and environmental factors. This involves conducting assessments, obtaining medical histories, performing physical exams, reviewing diagnostic tests, and gathering information from the client, family members, and other healthcare providers. In the scenario, data collection would involve gathering information about the client's postoperative condition, recovery progress, functional abilities, support system, home environment, and any other relevant factors that would influence the discharge planning process.

B. Evaluation:

Evaluation is the step of the nursing process where the nurse assesses the client's response to interventions, measures progress toward goals, and determines the effectiveness of the care provided. It involves comparing the client's actual outcomes with expected outcomes, identifying any deviations or areas needing improvement, and making adjustments to the care plan as necessary. In the scenario, evaluation would occur after the implementation of the discharge plan to assess the client's readiness for discharge, the achievement of goals, and the overall success of the interventions implemented.

C. Planning:

Planning is the phase of the nursing process where the nurse, in collaboration with the client, family, and healthcare team members, develops a comprehensive plan of care based on the collected data and identified needs. This includes setting priorities, establishing expected outcomes and goals, determining appropriate interventions, creating a timeline for implementation, and coordinating resources and services. In the scenario, planning involves working with the social worker and physical therapist to develop a discharge plan that addresses the client's postoperative needs, ensures continuity of care, promotes recovery, and supports a smooth transition from the healthcare facility to the home or next level of care.

D. Implementation:

Implementation is the phase of the nursing process where the nurse carries out the interventions outlined in the care plan. This involves putting the plan into action, providing direct care, educating the client and family, coordinating services, monitoring progress, and advocating for the client's needs. In the scenario, implementation would occur as the nurse, along with the social worker and physical therapist, initiates the discharge plan, arranges for services and resources, provides education and instructions to the client and family, and ensures that all necessary preparations are made for the client's transition from the hospital.