An acute care nurse is caring for a client who is postoperative and has a prescription for physical therapy 2-3 times per day for 2 weeks.
Which of the following resources should the nurse anticipate that the client will require upon discharge?

The correct answer is to select the following three findings that require immediate follow-up:C. Urticaria,D. Blood pressure at 1630, andE. Report of dysphagia.

Choice A rationale:

“Breath sounds at 1600.” The breath sounds at 1600 were clear and present throughout, which is a normal finding and does not require immediate follow-up.

Choice B rationale:

“Temperature.” The temperature readings at both 1600 and 1630 are slightly elevated but not critically high. This does not require immediate follow-up compared to the other findings.

Choice C rationale:

“Urticaria.” The presence of urticaria (hives) indicates an allergic reaction, which can potentially escalate to a more severe reaction such as anaphylaxis.Immediate follow-up is necessary to prevent further complications.

Choice D rationale:

“Blood pressure at 1630.” The blood pressure at 1630 is significantly lower (78/52 mm Hg) compared to the earlier reading (110/58 mm Hg).This hypotension could indicate a serious reaction to the medication or another underlying issue that requires prompt attention.

Choice E rationale:

“Report of dysphagia.” The client’s report of difficulty swallowing and feeling a lump in their throat is concerning for a potential airway obstruction or severe allergic reaction, such as anaphylaxis.This symptom requires immediate follow-up to ensure the client’s airway remains open and to provide necessary interventions.

Choice A rationale:

The novice-to-expert model for nursing competence includes several stages, and the "novice" stage represents a beginner who has limited experience and lacks clinical support. This stage typically involves individuals who are just starting their nursing careers and are in the early phases of learning.

Choice B rationale:

An "advanced beginner" is the next stage in the novice-to-expert model. This stage is characterized by individuals who have gained some experience and can perform tasks with increased competence. However, they still require clinical support and guidance in certain situations. It's a transitional phase between complete novice and more proficient levels of competence.

Choice C rationale:

The "proficient" stage in the model represents nurses who have acquired a higher level of competence and are capable of handling a wide range of situations. They do not require the same level of clinical support as those in the advanced beginner stage.

Choice D rationale:

The "competent" stage represents nurses who have reached a high level of competence and can function effectively in most situations without continuous clinical support. They are highly skilled and experienced in their practice.