The patient with a urinary tract infection is being assessed using a critical pathway. When a projected outcome is not met by a predetermined date it is determined that a/an:

omission exists

failure exists

variance exists

error exists

Answer and Explanation

The Correct Answer is C

A. Omission exists: An omission means something was left out, but that does not fully explain why the projected outcome was not met.

B. Failure exists: The term failure is not a standard term in critical pathways. The situation could be due to various factors beyond "failure."

C. Variance exists: A variance occurs when the patient’s progress deviates from the expected outcome within a critical pathway. This can be positive (faster recovery) or negative (delay in progress).

D. Error exists: A variance is not necessarily an error, as some patients may require longer recovery times due to medical conditions.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Teaching deep breathing and relaxation techniques as needed: Teaching non-pharmacological pain relief (such as deep breathing) is an independent nursing action that does not require a physician’s order.

B. Inserting a nasogastric tube (NG) to relieve gastric distention: NG tube insertion requires a physician's order, making it not independent.

C. Placing the nurse call button within reach at all times: Ensuring the patient’s call button is within reach is an independent nursing action to promote safety and communication.

D. Giving hand massages daily: Nurses can provide non-invasive comfort measures such as hand massages without a physician's order.

E. Repositioning the patient every 2 hours to reduce pressure injury risk: Repositioning is an independent intervention that prevents skin breakdown and pressure injuries.

F. Giving acetaminophen (Tylenol) 650 mg orally every 4 hours as needed: Medication administration requires a physician’s order, making it a dependent nursing action.

A. ethically can look at a friend's chart to see the diagnosis B. shares information from a chart to protect a friend C. knows that only the Patient's Bill of Rights advocates confidentiality D. reads charts only for professional reasons

Correct Answer is D

Explanation

A. Ethically can look at a friend's chart to see the diagnosis: Accessing a patient’s chart without a legitimate medical reason violates HIPAA and patient confidentiality laws.

B. Shares information from a chart to protect a friend: Confidentiality applies regardless of personal relationships. Unauthorized sharing of patient information is illegal and unethical.

C. Knows that only the Patient’s Bill of Rights advocates confidentiality: Multiple regulations, including HIPAA, protect patient confidentiality, not just the Patient’s Bill of Rights.

D. Reads charts only for professional reasons: Nurses can only access patient records when directly involved in care. Unnecessary access is a breach of confidentiality.

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The patient with a urinary tract infection is being assessed using a critical pathway. When a projected outcome is not met by a predetermined date it is determined that a/an:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing the patient's plan of care and ordered treatments. Which of the following is (are) independent nursing interventions? (select all that apply)

Correct Answer is ["A","C","D","E"]

Explanation

Understanding that health care personnel must respect the confidentiality of patients' records, the nurse:

Correct Answer is D

Explanation

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