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
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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Related Questions
Correct Answer is A
Explanation
A. Documenting the client's refusal in their chart is crucial for maintaining accurate records and ensuring that the refusal is properly documented for legal and medical purposes.
B. While checking the client's blood alcohol level may be relevant to the situation, it should not be done without the client's consent or a valid medical reason.
C. Assessing the client for urinary retention is not indicated in this scenario, as the client's refusal to provide a urine sample does not necessarily indicate urinary retention.
D. Informing the client that a catheter will be inserted without their consent is not appropriate and violates the client's autonomy.
Correct Answer is D
Explanation
A. Pharmacist: While a pharmacist may provide information about medications and their administration, they may not be the appropriate referral for addressing financial concerns related to medical equipment.
B. Child protective services: Referring to child protective services is not appropriate in this situation, as it does not involve issues of abuse or neglect.
C. Respiratory therapist: While a respiratory therapist may be involved in the child's care, they may not be the appropriate referral for addressing financial concerns.
D. Social worker: This is the correct answer. Social workers are trained to assist patients and families with accessing resources and support services, including financial assistance programs, that can help with the cost of medical equipment such as nebulizers. They can assess the family's financial situation and connect them with appropriate resources to obtain the necessary equipment for their child's asthma management.
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