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.

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Correct Answer is B

Explanation

A. The client's preferred time for bathing: While this information may be relevant to the client's care, it is not typically included in a change-of-shift report unless it directly impacts the client's medical condition or care plan.
B. The time the client received his last dose of pain medication: This information is crucial for ensuring continuity of care and managing the client's pain appropriately during the transfer to the rehabilitation facility.
C. The belief that the client has a difficult relationship with his son: While psychosocial factors can impact a client's care, this information may not be relevant to the client's immediate medical needs or the transition to the rehabilitation facility.
D. The steps to follow when providing wound care: While wound care instructions are important, they are typically documented in the client's medical record and may not need to be included in a change-of-shift report unless there are specific wound care concerns that need to be addressed during the transfer.

A. A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor B. A client who has gestational diabetes and is receiving biweekly nonstress tests C. A client who is at 32 weeks of gestation and has premature rupture of membranes D. A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump

Correct Answer is D

Explanation

A. A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor: This client has a complex medical condition and requires specialized obstetric care.
B. A client who has gestational diabetes and is receiving biweekly nonstress tests: This client requires routine antenatal monitoring, which may be within the scope of practice of an RN with experience in obstetrics.
C. A client who is at 32 weeks of gestation and has premature rupture of membranes: This client has a high-risk pregnancy complication and requires specialized obstetric care.
D. A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump: This is the correct answer. This client has recently undergone surgery and has a patient- controlled analgesia (PCA) pump, indicating a need for postoperative care, pain management, and monitoring, which aligns with the skills of a medical-surgical nurse.

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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

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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