Author Question: A client who has been in the ICU for 2 days is placed on a critical pathway for extended care. The ... (Read 42 times)

olgavictoria · **on:** Jul 22, 2018

A client who has been in the ICU for 2 days is placed on a critical pathway for extended care. The nurse concludes that the client understood teaching about critical pathways when the client states:

1. I must be able to meet goals that are set for me..
2. My insurance plan can deny payment if I do not meet goals..
3. The chosen pathway can be altered to meet my needs..
4. I cannot alter the pathway plan..

Question 2

A client is surprised to learn that he has lung disease since he has never smoked. Which of the following should the nurse assess in this client?

1. Participation in recreational activities
2. Exposure to airborne pollutants
3. Nutritional status
4. Cardiac status

katieost · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. The chosen pathway can be altered to meet my needs..

Rationale:
Pathways are flexible enough to be adjusted and tailored to the client's needs and wishes. The client is included in the discussion of meeting goals. It is possible to have variances in a critical pathway that, if documented properly, should be paid for by insurance. The case manager monitors and works with the client to alter the pathway as needed during the recovery process.

Answer to Question 2

2. Exposure to airborne pollutants

Rationale:
The nurse should assess the client for exposure to airborne pollutants. A number of factors affect a healthy respiratory system. The air an individual breathes, either indoors or outdoors, may be polluted. Exposure to airborne irritants may produce an inflammatory response within the airways. Assessing the client's participation in recreational activities and nutritional status is important; however, it might not provide the needed information regarding the client's exposure to pollutants. The client's cardiac status may or may not be affected by the lung disease.