The nurse is working with postoperative clients on a surgical ...

[notis]

The nurse is working with postoperative clients on a surgical unit. One aspect of care is manipulation of the client's environment. What does this involve on the part of the nurse?
 
  a. Delegating ambulation of clients to the unregulated care provider
  b. Providing pain medication to the client before a dressing change
  c. Maintaining client privacy during procedures
  d. Repositioning the client q2h

Question 2

The nurse may use a concept map when implementing a plan of care. What is the purpose and distinction of a concept map?
 
  a. Quality assurance in the health care facility
  b. Multidisciplinary communication
  c. Provision of a standardized format for client problems
  d. Identification of the relation of client problems and interventions

[frankwu0507]

Answer to Question 1

C
Maintaining client privacy during procedures that may require some body exposure is an example of manipulating the client's environment. A care environment must be safe and conducive to implementation of therapies.
Delegating ambulation of clients to the unregulated care provider is an example of organizing personnel (resources) for care delivery.
Providing pain medication before a dressing change is an example of organizing care delivery specific to the client. Before beginning to perform interventions, the nurse should make the client as physically and psychologically comfortable as possible.
Repositioning the client q2h is an example of organizing care delivery to promote client comfort and prepare the client for nursing intervention.

Answer to Question 2

D
A concept map is a diagram of client problems and interventions that shows their relations to one another.
The use of a concept map promotes critical thinking and helps the nurse to organize complex client data, process complex relationships, and achieve a holistic view of the client's situation. The purpose is not quality assurance in the health care facility.
Multidisciplinary communication is enhanced with the use of critical pathways, not concept maps.
Standardized or computerized care plans, not concept maps, provide a standardized format for client problems. A concept map is highly individualized.

[notis]

Thank you!

[frankwu0507]

Always glad to help...