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

Critical pathways-should reduce health care costs.

Nurses should discontinue the critical pathway if variances occur.

Critical pathways have an unlimited timeframe for completion.

Nurses' notes are used to create the critical pathway.

Answer and Explanation

The Correct Answer is A

A. Critical pathways should reduce health care costs. Critical pathways, also known as clinical pathways or care maps, are evidence-based, multidisciplinary plans that outline expected care and outcomes for specific conditions. They aim to improve care efficiency, reduce complications, and lower healthcare costs by standardizing care.
B. Nurses should discontinue the critical pathway if variances occur. Variances—deviations from the expected pathway—are documented and analyzed, not a reason to discontinue the pathway. They help identify areas for improvement or necessary adjustments in patient care.
C. Critical pathways have an unlimited timeframe for completion. Critical pathways are time-bound, with specific goals and milestones to be met within a set timeframe based on typical recovery patterns for the condition being treated.
D. Nurses' notes are used to create the critical pathway. Critical pathways are developed using evidence-based guidelines, expert consensus, and clinical research, not individual nurses’ progress notes. However, nurses do document progress and variances within the pathway.

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Correct Answer is C

Explanation

A. Hyperthyroidism. This condition is not a contraindication to the use of combination oral contraceptives. Women with hyperthyroidism can generally use hormonal contraceptives safely under medical supervision.
B. Hypocalcemia. Low calcium levels are not linked to increased risk with combination oral contraceptives and do not contraindicate their use.
C. Thrombophlebitis. This condition involves inflammation and clot formation in the veins, and is a major contraindication to combination oral contraceptives. These medications increase the risk of blood clots, making them unsafe for clients with current or prior thromboembolic disorders.
D. Diverticulosis. This gastrointestinal condition is not affected by hormone levels and is not a contraindication to combination oral contraceptive use.

A. "You have already consented to this treatment, so you must continue." B. "I will let your doctor know that you want to discontinue treatment. C. "You should discuss this with your family and see if they agree." D. "I know this treatment is difficult for you, but you will feel better."

Correct Answer is B

Explanation

A. "You have already consented to this treatment, so you must continue." This response disregards the client’s autonomy. Clients have the right to withdraw consent and stop treatment at any time, even after initially agreeing to it.
B. "I will let your doctor know that you want to discontinue treatment." This response respects the client’s right to make decisions about their care and ensures that the healthcare team is informed to support the client appropriately. It demonstrates advocacy and ethical practice.
C. "You should discuss this with your family and see if they agree." While family input can be helpful, the final decision rests with the client, not their family. This response may undermine the client’s autonomy.
D. "I know this treatment is difficult for you, but you will feel better." This is a minimizing statement that may come across as dismissive. It does not acknowledge the client’s feelings or support their decision-making process.

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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

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Correct Answer is C

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