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 D

Explanation

A. The client needs to have someone come in to help her bathe at home: While assistance with activities of daily living may be necessary, it does not specifically warrant a referral to a social worker.
B. The client needs to have someone bring oxygen tanks and equipment to her home: This indicates a need for home oxygen therapy but does not directly involve social work services.

C. The client needs to have range-of-motion exercises to assist with ambulation: Rehabilitation needs can be addressed by physical or occupational therapy, not necessarily by a social worker.
D. The client needs to arrange financial resources to purchase equipment: This assessment data suggests potential financial concerns related to purchasing equipment, which may require assistance from a social worker in accessing resources or financial assistance programs.

A. The nurse is responsible for disclosing the expected outcomes of the proposed treatment. B. Consent can be verbal or written. C. Nurses rely on consent to perform interventions. D. The nurse's signature indicates they witnessed the client's signature.

Correct Answer is D

Explanation

A. The nurse is responsible for disclosing the expected outcomes of the proposed treatment is incorrect. It is the provider’s responsibility to explain the procedure, risks, benefits, and alternatives, not the nurse's. The nurse's role is to reinforce the information provided by the provider.

B. Consent can be verbal or written is incorrect. While some minor procedures may involve implied or verbal consent, informed consent for major procedures, surgeries, or treatments must be written and signed by the client.

C. Nurses rely on consent to perform interventions is incorrect. While consent is important, routine nursing interventions (such as administering medications or checking vital signs) are covered under general consent given at admission. Informed consent is specifically required for invasive or high-risk procedures.

D. The nurse's signature indicates they witnessed the client's signature is correct. The nurse's role in informed consent is to witness the client signing the document and ensure they signed voluntarily, without coercion, and with full understanding of the procedure as explained by the provider.

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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 D

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Correct Answer is D

Explanation

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