The patient with a urinary tract infection is being assessed using a critical pathway. When a projected outcome is not met by a predetermined date it is determined that a/an:
omission exists
failure exists
variance exists
error exists
The Correct Answer is C
A. Omission exists: An omission means something was left out, but that does not fully explain why the projected outcome was not met.
B. Failure exists: The term failure is not a standard term in critical pathways. The situation could be due to various factors beyond "failure."
C. Variance exists: A variance occurs when the patient’s progress deviates from the expected outcome within a critical pathway. This can be positive (faster recovery) or negative (delay in progress).
D. Error exists: A variance is not necessarily an error, as some patients may require longer recovery times due to medical conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Focused: A focused assessment is ongoing and directed at specific problems based on the patient’s condition (e.g., assessing pain, circulation, or respiratory status frequently).
B. Body systems: Body systems assessments are structured assessments that evaluate a particular system (e.g., cardiovascular, respiratory) rather than continuous monitoring.
C. Subjective: Subjective assessment includes patient-reported symptoms but does not define the type of continuous assessment nurses perform.
D. Complete: A complete (or comprehensive) assessment is done at admission, not continuously.
Correct Answer is B
Explanation
A. Patient's nursing problem: Nursing problems are identified in assessments, not the actual care documentation.
B. Interventions carried out to meet the patient’s needs: Documentation should include interventions, the time they were performed, and the caregiver’s signature for legal and professional accountability.
C. Patient’s medical problem: Medical problems are diagnosed by physicians, while nurses document care interventions related to nursing diagnoses.
D. The patient's response to the intervention carried out: While patient responses should be documented, this question focuses on recording interventions, not patient reactions.
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