A nurse is contributing to the plan of care for a client who had a total joint replacement and is two days postoperative. Which of the following resources should the nurse consult to determine the client’s activity level for the day?
Critical pathway
Standards of care
Clinical practice guidelines
Textbook reference
The Correct Answer is A
A. Critical pathway provides a specific, timeline-based plan of care with expected outcomes and interventions, including activity levels.
B. Standards of care are important but may not offer specific guidance for the individual client's daily activity level.
C. Guidelines may provide general recommendations but may lack specificity.
D. This is general information source but not as specific or current as the institution's critical pathway.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Diazepam can cause side effects, especially drowsiness, even with a single dose.
B. One of the common side effects of diazepam is drowsiness, and the client should be advised not to operate heavy machinery or engage in activities requiring alertness until the effects are known.
C. Avoiding foods that contain tyramine is more relevant for certain antidepressant medications, not diazepam.
D. Grapefruit juice is known to interact with certain medications, but it does not inactivate diazepam.
Correct Answer is D
Explanation
A. Hypovolemic shock is typically associated with hypotension, not hypertension.
B. Hypovolemic shock usually leads to tachypnea as the body compensates for decreased oxygen delivery.
C. Purpura is not a common finding in hypovolemic shock.
D. Reduced urine output is a characteristic finding in hypovolemic shock due to decreased blood flow to the kidneys.
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