A nurse is preparing a discharge plan for a client using the IDEAL toolkit. Which of the following does the toolkit identify as one of the five key areas that nurse should discuss with the client?

Client goals

Discharge process

Family member preferences

Test results

Answer and Explanation

The Correct Answer is A

A.   This aligns with the "D" in IDEAL, which is to develop a discharge plan. The client's goals should be a central part of this plan.
B.   While the discharge process is important, it's more about the steps involved in the discharge rather than a key area to discuss with the client.
C.   While family input is valuable, the focus should be on the client's needs and goals.
D.   Test results are important information for the client, but they are not one of the five key areas of the IDEAL toolkit.

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Correct Answer is A

Explanation

A. A urine output of less than 30 mL/hour is considered oliguria and is a critical finding that requires immediate notification to the provider. It could indicate potential complications such as dehydration, hypovolemia, or renal impairment.
B. While pain management is important, a decrease in pain is expected after administering morphine. This is not a critical finding that requires immediate notification to the provider.
C. A small amount of serosanguineous drainage is expected in the early postoperative period. It would only be a concern if the drainage was excessive, bright red, or increasing in amount.
D. Postoperative laboratory results are Hgb 15% and Hct 40% are within normal ranges and do not require immediate notification to the provider.

A. Clinical judgement B. Critical thinking C. Concept mapping D. Clinical reasoning

Correct Answer is D

Explanation

A. While clinical judgment is essential in decision-making, it is based on experience and intuition. While valuable, it alone is not sufficient for evidence-based decision-making.
B. Critical thinking is a vital component of clinical decision-making, but it focuses on analyzing information and evaluating options. It's part of the process but doesn't encompass the entire evidence- based decision-making framework.
C. This is a visual tool used to organize information and identify relationships. It's a helpful aid in decision-making but not the core component.
D. This involves using critical thinking, knowledge, and experience to analyze patient data, consider options, and make decisions. It is the process of applying evidence to patient care and is therefore the most accurate answer.

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A nurse is preparing a discharge plan for a client using the IDEAL toolkit. Which of the following does the toolkit identify as one of the five key areas that nurse should discuss with the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 3 hr postoperative following abdominal surgery. Which of the following assessment data should the nurse report to the provider?

Correct Answer is A

Explanation

Which of the following is a component of clinical decision-making that the nurse should use to make an evidence-based decision?

Correct Answer is D

Explanation

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