A nurse is planning to develop a standard for removal of indwelling urinary catheters from clients following colon resection. Which of the following resources should the nurse use?

Provider's prescription

Critical pathway

Maslow's hierarchy of needs

Surgical record

Answer and Explanation

The Correct Answer is B

A. While a provider's prescription would indicate specific orders for individual patients, it does not serve as a standard guideline for the removal of urinary catheters.

B. A critical pathway outlines standardized, evidence-based protocols for managing patients' care, including when to remove indwelling urinary catheters following specific procedures like colon resection.

C. Maslow's hierarchy of needs is a psychological theory used to prioritize care based on human needs but does not provide specific clinical guidelines for catheter removal.

D. The surgical record documents the surgery but does not contain guidelines or protocols for post-operative care like catheter removal.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Leaving the purse in a drawer of the bedside table is not secure and does not address the client's concern about theft.

B. Placing the purse in the clothing bag does not provide adequate security and may not alleviate the client's anxiety about theft.

C. Offering to place the purse in the facility safe ensures the security of the client's belongings and addresses her concern effectively.

D. While storing the purse at the nurses' station may seem secure, it is less formal than using the facility safe, which is designed specifically for safeguarding valuable items.

A. The client expresses the desire to join a support group. B. The client requires assistance with completing oral hygiene. C. The client has difficulty ambulating with a walker. D. The client reports pain when chewing solid foods.

Correct Answer is B

Explanation

A. Expressing a desire to join a support group indicates a need for emotional support but does not specifically require occupational therapy.

B. Requiring assistance with completing oral hygiene indicates that the client may benefit from occupational therapy to improve fine motor skills and daily living activities, making this the most relevant finding for the referral.

C. Difficulty ambulating with a walker may require physical therapy rather than occupational therapy, as it focuses on mobility rather than daily tasks.

D. Reporting pain when chewing solid foods suggests a need for dietary modifications or possibly speech therapy, but it does not directly indicate a need for occupational therapy.

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A nurse is planning to develop a standard for removal of indwelling urinary catheters from clients following colon resection. Which of the following resources should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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