Author Question: In which location of the chart would the nurse most likely chart hourly urinary output for a ... (Read 44 times)

neverstopbelieb · **on:** Jul 22, 2018

In which location of the chart would the nurse most likely chart hourly urinary output for a patient?

a. Kardex c. flow sheet
b. care path d. critical pathway

Question 2

The nurse, caring for a client who has had a bone marrow transplant, assesses a rash over a large part of the client's body and discovers, upon questioning, that the client has had diarrhea and vomiting on day 30 following the transplant.

The nurse reviews laboratory results and sees liver enzymes are elevated. The nurse suspects that this client has: 1. Veno-occlusive liver disease.
2. Renal insufficiency.
3. Gastrointestinal toxicity.
4. Acute graft-versus-host disease.

dellikani2015 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
The flow sheet contains all routine interventions that can be noted with a check mark or other simple code. This allows for quick comparison of measurements. The care path or critical pathways is a multidisciplinary form that identifies interventions and achievement of patient outcomes. The Kardex is a summary worksheet reference of basic patient care information and is not routinely a part of the medical record.

Answer to Question 2

4. Acute graft-versus-host disease.

Rationale:
A rash and diarrhea and vomiting are classic symptoms of acute graft-versus-host disease following a bone marrow transplant as the body attempts to destroy the bone marrow seen as a foreign antigen. Veno-occlusive liver disease, renal insufficiency, and gastrointestinal toxicity are not associated with graft-versus-host disease.