Author Question: A nurse is using critical pathways to care for a patient. Which area will the nurse address ... (Read 71 times)

mia · **on:** Jul 22, 2018

A nurse is using critical pathways to care for a patient. Which area will the nurse address according to the pathway?

a. Activity
b. Nursing diagnosis
c. Times to chart
d. Admission form

Question 2

A nurse uses four basic skills during a physical assessment. While assessing the abdomen the nurse must begin with which of the following skills?

a. Light palpation
b. Inspection
c. Deep palpation
d. Auscultation

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

Answer to Question 1

A
Critical pathways are usually organized according to categories such as activity, diet, treatments, protocols, and discharge planning. The case management plan incorporates critical pathways, which standardize practice and improve interdisciplinary coordination. The admission form al-lows the admitting nurse to make a thorough assessment (e.g., biographical data, physical and psychosocial/cultural assessment, and review of health risk factors) and identify relevant nursing diagnoses or problems for the patient's care plan. Nursing diagnoses are used in the nursing process, not with critical pathways. Times to chart are not addressed in the critical pathway.

Answer to Question 2

B
The order of abdominal assessment differs from previous assessments. First the nurse begins by inspection, followed by auscultation. By using auscultation before palpation (light or deep), there is less chance of altering the frequency and character of bowel sounds.