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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Correct Answer is B

Explanation

A. A unit nurse should not provide information to the media during a disaster; this is typically managed by designated personnel to ensure accuracy and compliance with facility policies.

B. A nurse can recommend clients who are stable for discharge during a disaster, which helps free up resources and space for those who need immediate care.

C. A unit nurse does not have the authority to prescribe emergency medications; this is the responsibility of a licensed provider.

D. While communication with the performance improvement committee is important, it is not the immediate focus during a disaster; the priority is direct patient care and ensuring client safety.

A. Notify the provider. B. Complete an incident report. C. Inform the nursing supervisor. D. Observe the client's condition.

Correct Answer is D

Explanation

A. Notifying the provider is essential, but the immediate priority is to assess the client's current condition to determine if there are any adverse effects from the additional dose.

B. Completing an incident report is necessary for documentation and accountability but should follow the immediate assessment of the client's condition.

C. Informing the nursing supervisor is important for communication and oversight, yet the nurse must first observe the client to evaluate any immediate effects of the medication error.

D. Observing the client's condition is the first action because it helps to identify any potential complications or adverse reactions resulting from the additional dose of medication.

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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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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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