A nurse manager is planning to teach staff about critical pathways. Which of the following information should the nurse plan to include?

Nurses notes are used to create the critical pathway

Critical pathways should reduce health care costs

Critical pathways have an unlimited timeframe for completion.

Nurses should discontinue the critical pathway if variances occur

Answer and Explanation

The Correct Answer is B

Rationale:

A. Nurses notes are used to create the critical pathway: Critical pathways are developed from evidence-based clinical guidelines and best practices, not directly from nurses’ notes. While documentation may help track progress, it is not the foundation for pathway creation.

B. Critical pathways should reduce health care costs: Critical pathways standardize care for specific diagnoses, promoting timely interventions and reducing unnecessary treatments or delays. This efficiency helps lower healthcare costs while improving patient outcomes.

C. Critical pathways have an unlimited timeframe for completion: Each critical pathway includes a defined timeline with expected outcomes for each phase of care. This structure ensures care is efficient and progress is monitored closely to prevent delays or complications.

D. Nurses should discontinue the critical pathway if variances occur: Variances are deviations from the expected outcomes and are used to evaluate and adjust care. They do not justify discontinuing the entire pathway but rather indicate a need for reassessment or individualized modifications.

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Correct Answer is C

Explanation

Rationale:

A. Temperature 37.7° C (99.9° F): This temperature is only slightly elevated and not strongly indicative of infection. Endometritis typically presents with a fever above 38°C (100.4°F), reflecting a more pronounced inflammatory response.

B. Polyuria: Increased urine output is not a characteristic sign of endometritis. It may be seen with conditions such as diabetes mellitus or post-diuresis but is unrelated to uterine infection.

C. Malodorous lochia: Foul-smelling lochia is a key clinical sign of endometritis, indicating infection of the uterine lining. It often accompanies uterine tenderness, fever, and possibly abdominal pain.

D. Heart rate 56/min: Bradycardia is not typical in endometritis. Instead, clients may present with tachycardia as part of the systemic inflammatory response to infection. A low heart rate would be unexpected.

A. Impulsivity B. Shows perfectionism C. Takes advantage of others D. Irritability

Correct Answer is B

Explanation

Rationale:

A. Impulsivity: Impulsivity is more commonly associated with borderline or antisocial personality disorders, where individuals may act without considering consequences. It is not a characteristic of obsessive-compulsive personality disorder (OCPD), which involves control and orderliness.

B. Shows perfectionism: Perfectionism is a key feature of OCPD. Clients often set unrealistic standards for themselves and others, struggle with flexibility, and may be excessively devoted to work and productivity at the expense of leisure and relationships.

C. Takes advantage of others: This behavior is indicative of antisocial personality disorder, where individuals disregard the rights of others for personal gain. OCPD clients typically adhere rigidly to rules and ethical codes, making this trait inconsistent.

D. Irritability: While individuals with OCPD may become frustrated when things don’t go according to their standards, irritability alone is not a defining feature. It is a nonspecific symptom that can appear across many disorders but does not specifically identify OCPD.

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A nurse manager is planning to teach staff about critical pathways. Which of the following information should the nurse plan to include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has endometritis. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is assessing a client who has obsessive-compulsive personality disorder. Which of the following manifestations should the nurse expect?

Correct Answer is B

Explanation

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