A nurse is planning to develop a standard for removal of indwelling urinary catheters from clients following colon resection. Which of the following resources should the nurse use?

Surgical record

Provider's prescription

Critical pathway

Maslow's hierarchy of needs

Answer and Explanation

The Correct Answer is C

A.   Surgical record: While the surgical record may provide information about the procedure and immediate postoperative care, it may not specifically address the criteria or timing for removal of urinary catheters.
B.   Provider's prescription: The provider's prescription may indicate the initial insertion of the urinary catheter but may not provide guidance on when it should be removed based on clinical indicators or best practices.
C.   Critical pathway: This is the correct answer. A critical pathway, also known as a clinical pathway or care pathway, is a multidisciplinary tool that outlines evidence-based guidelines and timelines for the management of specific patient populations or conditions. Developing a
standard for removal of urinary catheters following colon resection would involve using a critical pathway to establish best practices and optimize patient outcomes.
D.   Maslow's hierarchy of needs: Maslow's hierarchy of needs is a framework for understanding human motivation and behavior, particularly related to meeting physiological and psychological needs. While it may inform nursing care in general, it is not a specific resource for developing clinical standards for urinary catheter removal.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. "A nurse can recommend clients who are stable for discharge during a disaster." - This statement demonstrates an understanding of the role of nurses during a disaster. Nurses may need to prioritize patients for discharge to free up resources for those in critical need.
B. "A unit nurse has the authority to prescribe emergency medications during a disaster." - Nurses do not have the authority to prescribe medications outside of their scope of practice or without proper authorization, even during a disaster.
C. "A nurse should communicate with the performance improvement committee during a disaster to improve client outcomes." - While communication with relevant committees may be
important, it is not a primary role of nurses during a disaster.

D. "A unit nurse can provide information to the media during a disaster." - Providing information to the media should be coordinated through designated spokespersons or public relations personnel, not individual nurses, to ensure accurate and appropriate messaging.

A. Elevates the head of the client's bed to 30° before inserting a nasogastric tube B. Maintains the chest tube collection device below the level of the insertion site when ambulating the client C. Assists the client into a fetal position on his side in preparation for a lumbar puncture D. Assesses the client's gag reflex following an esophagogastroduodenoscopy

Correct Answer is A

Explanation

A. Elevating the head of the client’s bed to 30° before inserting a nasogastric (NG) tube is incorrect. The proper position for NG tube insertion is typically with the client sitting upright at 45–90° to reduce the risk of aspiration and facilitate the passage of the tube through the esophagus. This action requires intervention by the charge nurse to correct the positioning.

B. Maintaining the chest tube collection device below the level of the insertion site when ambulating the client is correct. This positioning prevents backflow of drainage into the pleural space, which could lead to complications such as pneumothorax or infection. No intervention is needed for this action.

C. Assisting the client into a fetal position on their side in preparation for a lumbar puncture is correct. This position helps to widen the spaces between the vertebrae, allowing easier access to the spinal canal for the procedure. This action does not require intervention.

D. Assessing the client’s gag reflex following an esophagogastroduodenoscopy (EGD) is correct. After an EGD, the client’s gag reflex must return before allowing oral intake to prevent aspiration. This action does not require intervention.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is planning to develop a standard for removal of indwelling urinary catheters from clients following colon resection. Which of the following resources should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly licensed nurse about the role of nurses during a facility disaster. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is A

Explanation

A charge nurse is observing a newly licensed nurse provide care to four clients. Which of the following actions requires intervention by the charge nurse?

Correct Answer is A

Explanation

A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

A nurse is reviewing the medication administration record of a client and notices that a client’s condition requires intervention. Which of the following actions should the nurse take first?

A nurse manager is discussing responsibilities of the nurse manager role with a group of newly licensed nurses. Which of the following responsibilities should the nurse include? (Select all that apply.)

A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?

A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions include as an example of ethical practice?

A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the clients should the nurse assign a red tag?

A nurse working in an emergency department is caring for a group of clients. Which of the following clients requires intervention by the nurse?

A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?