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 ["A","B","D","F"]

Explanation

A. Client 1 - Lyme disease is a reportable infectious disease in many jurisdictions due to its potential public health implications. Given that it is transmitted by tick bites, it is crucial to notify the health department to help track the incidence and potential outbreaks in the area.

B. Client 2 - Acute hepatitis C is also a reportable disease, especially given the client's history of IV substance use. Reporting aids in monitoring and controlling the spread of the disease, as it can be transmitted through blood and sharing of needles.

C. Client 3 - Clostridium difficile infections are typically not reported to the health department, as they are often linked to healthcare settings and do not pose a public health threat in the same way as other infectious diseases.

D. Client 4 - Salmonellosis is a reportable illness as it can be associated with outbreaks linked to foodborne transmission. Reporting is essential for investigating sources of infection and preventing further cases.

E. Client 5 - While Streptococcal pharyngitis is common and can cause outbreaks, it is generally not classified as a reportable disease to public health departments. Instead, treatment and monitoring are usually managed within healthcare settings.

F. Client 6 - Pertussis (whooping cough) is highly contagious and considered a reportable disease due to its potential to cause outbreaks, especially among vulnerable populations. Reporting allows for monitoring and preventive measures to be implemented in the community.

A. Document nursing interventions as they are completed. B. Skip breaks to complete tasks if short on time. C. Complete similar tasks for all clients before moving on to the next task. D. Complete the lowest priority task at the beginning of the shift.

Correct Answer is A

Explanation

A. Documenting nursing interventions as they are completed ensures accuracy and helps avoid missing critical information. This practice also enhances time management by reducing the likelihood of forgetting details.

B. Skipping breaks can lead to fatigue and reduce productivity over time. It's important to take breaks to maintain focus and energy levels.

C. Completing similar tasks for all clients may seem efficient but can lead to delays in addressing higher-priority needs. Tasks should be prioritized based on client needs.

D. Completing the lowest priority task at the beginning of the shift is inefficient, as higher-priority tasks should be addressed first to ensure timely care and prevent complications.

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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 ["A","B","D","F"]

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Correct Answer is A

Explanation

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