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 {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

Rationale for Correct Choices:

Pain level: The client reports severe epigastric pain radiating to the back with a pain score increasing from 7 to 9 out of 10. Managing this acute pain is critical to improve the client's comfort, reduce stress response, and help prevent complications such as respiratory distress caused by shallow breathing due to pain.
Blood pressure: The client’s blood pressure has dropped to 86/48 mm Hg, indicating hypotension that can lead to poor tissue perfusion and shock. After addressing pain, stabilizing blood pressure is essential to prevent organ dysfunction and maintain hemodynamic stability.

Rationale for Incorrect Choices:

Lung sounds: Although diminished breath sounds and rhonchi are concerning and may indicate complications, immediate pain control can improve respiratory effort and oxygenation before focusing on lung sounds.
Bowel sounds: Hypoactive bowel sounds are common in pancreatitis but are less urgent than pain and hypotension in acute care.
Temperature: Fever suggests infection or inflammation but is a lower priority compared to controlling pain and stabilizing blood pressure.
Blood glucose level: Elevated glucose requires monitoring but is less urgent than the client’s pain and hypotension in the acute phase.

A. Identify possible precipitating factors related to the infections. B. Meet with providers to discuss measures to decrease the infections C. Schedule nursing staff training for infection control procedures D. Revise the current policy for catheter care.

Correct Answer is A

Explanation

Rationale:

A. Identify possible precipitating factors related to the infections: The first step in addressing a quality or safety concern is to assess the situation and collect data. Identifying contributing factors helps guide appropriate interventions and ensures that any subsequent actions are targeted and evidence-based.

B. Meet with providers to discuss measures to decrease the infections: Collaborating with providers is essential for implementing effective solutions, but this step should follow a thorough assessment. Without identifying root causes first, discussions may be unfocused or ineffective in reducing infection rates.

C. Schedule nursing staff training for infection control procedures: Training is a critical part of reducing catheter-associated infections, especially if staff knowledge gaps are discovered. However, education should be informed by a needs assessment and data on what factors are contributing to the infections.

D. Revise the current policy for catheter care: Policy revision may be necessary if current guidelines are outdated or inadequate. However, revising policy prematurely, without understanding the source of the problem, may lead to unnecessary or ineffective changes.

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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 in a medical-surgical unit is caring for a clent Exhibits Complete the following sentence by using the lists of options. The nurse should first address the dropdown followed by the client dropdown.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

A charge nurse is concerned about a recent increase in facility-acquired catheter infections. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

The nurse continues to care for the client. Exhibits A nurse on the inpatient mental health unit is planning care for the client For each potential provider's prescription, click to specify if the prescription is anticipated or contraindicated for the client.

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