A nurse is contributing to the plan of care for a client who had a total joint replacement and is two days postoperative. Which of the following resources should the nurse consult to determine the client’s activity level for the day?
Critical pathway
Standards of care
Clinical practice guidelines
Textbook reference
The Correct Answer is A
A. Critical pathway provides a specific, timeline-based plan of care with expected outcomes and interventions, including activity levels.
B. Standards of care are important but may not offer specific guidance for the individual client's daily activity level.
C. Guidelines may provide general recommendations but may lack specificity.
D. This is general information source but not as specific or current as the institution's critical pathway.
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Related Questions
Correct Answer is B
Explanation
A. Non-palpable spleen is not a typical manifestation of malnutrition but may be associated with other health conditions.
B. Rough, dry skin is a common manifestation of malnutrition, reflecting deficiencies in essential nutrients affecting skin health.
C. The presence of surface papillae on the tongue is not specifically associated with malnutrition.
D. Slightly moist skin is less likely in malnutrition; dry skin is more characteristic.
Correct Answer is C
Explanation
A. The dosage of opioid narcotics is not unlimited and should be carefully titrated to the client's pain level.
B. Opioid narcotics are not restricted solely due to the risk of addiction, especially in end-of-life care where effective pain management is a priority.
C. This statement emphasizes the importance of maintaining a stepwise approach to pain management, preserving options for effective pain control.
D. The use of opioid narcotics is not restricted solely to when death is imminent; it depends on the client's pain and symptom management needs.
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