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?

Surgical record

Provider's prescription

Critical pathway

Maslow's hierarchy of needs

Answer and Explanation

The Correct Answer is C

A.   Surgical record: While the surgical record may provide information about the procedure and immediate postoperative care, it may not specifically address the criteria or timing for removal of urinary catheters.
B.   Provider's prescription: The provider's prescription may indicate the initial insertion of the urinary catheter but may not provide guidance on when it should be removed based on clinical indicators or best practices.
C.   Critical pathway: This is the correct answer. A critical pathway, also known as a clinical pathway or care pathway, is a multidisciplinary tool that outlines evidence-based guidelines and timelines for the management of specific patient populations or conditions. Developing a
standard for removal of urinary catheters following colon resection would involve using a critical pathway to establish best practices and optimize patient outcomes.
D.   Maslow's hierarchy of needs: Maslow's hierarchy of needs is a framework for understanding human motivation and behavior, particularly related to meeting physiological and psychological needs. While it may inform nursing care in general, it is not a specific resource for developing clinical standards for urinary catheter removal.

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Correct Answer is A

Explanation

A. A client who sustained a concussion and is being monitored for complications: This client would likely have stable neurological status and require monitoring for signs of complications such as increased intracranial pressure or neurological deterioration. It is suitable for a newly licensed nurse who needs to develop assessment and monitoring skills.
B. A client who has Guillain-Barré syndrome and a tracheostomy: Guillain-Barré syndrome can present with rapidly progressive weakness and respiratory compromise, requiring close
monitoring and interventions such as tracheostomy care. This assignment may be more appropriate for an experienced nurse due to the complexity of care.
C. A client who has multiple sclerosis and ataxia: Multiple sclerosis is a chronic neurological condition that can present with various symptoms, including ataxia. Depending on the severity of symptoms and care needs, this assignment may require a nurse with experience in managing neurological conditions.
D. A client who has a brain tumor and is admitted for chemotherapy: This client may require specialized care related to chemotherapy administration, symptom management, and neurological assessments. It may be more suitable for an experienced nurse with knowledge of oncology and neurology.

A. The nurse shares their performance plan with another nurse. B. The nurse attends a critical thinking class. C. The nurse verbalizes their understanding of the plan. D. The nurse performs all tasks as specified.

Correct Answer is D

Explanation

A. The nurse shares their performance plan with another nurse: While sharing the performance plan with another nurse may indicate a level of transparency, it does not necessarily demonstrate that the nurse has improved their performance.
B. The nurse attends a critical thinking class: Attending a class may be part of the remediation plan, but it does not directly indicate whether the nurse's performance has improved.
C. The nurse verbalizes their understanding of the plan: Verbalizing understanding is a positive step, but it does not necessarily guarantee improved performance in practice.

D. The nurse performs all tasks as specified: This is the correct answer. The ultimate goal of a performance improvement plan is to address areas of weakness and ensure that the nurse is able to perform their duties effectively. If the nurse consistently performs all tasks as specified, it
indicates that the plan has been effective in addressing performance issues.

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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

A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse?

Correct Answer is A

Explanation

A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective?

Correct Answer is D

Explanation

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