Author Question: The nurse knows that the ideal time to change an ostomy pouch is a. Before eating a meal, when ... (Read 74 times)

AEWBW

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The nurse knows that the ideal time to change an ostomy pouch is
 
  a. Before eating a meal, when the patient is comfortable.
  b. When the patient feels that he needs to have a bowel movement.
  c. When ordered in the patient's chart.
  d. After the patient has ambulated the length of the hallway.

Question 2

Nursing informatics (NI) is a specialty area of nursing practice dedicated to the optimal use of technology to support professional practice and optimal client outcomes. Which of the following is an obstacle to the collection of nursing data?
 
  a. Canada Health Infoway
  b. The International Classification for Nursing Practice (ICNP) lacks unified
  terminology for recording nursing practice
  c. Lack of evidence-based practices for health information
  d. The absence of universally accepted methods for defining and coding nursing contributions to health outcomes



epscape

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Answer to Question 1

A
The nurse wants to change the ostomy appliance when as little output as necessary ensures a smooth procedure. Patients with ostomies do not feel the urge to defecate because the sensory portion of the anus is not stimulated. Changing the ostomy pouch is a nursing judgment decision. After a patient ambulates, stool output is increased.

Answer to Question 2

D
Despite the escalation of technology in health care and the recognition of nursing informatics, persistent absence of universally accepted methods for defining and coding nursing contributions to health outcomes is a significant obstacle to the collection of nursing data.
The Canada Health Infoway is an incorporated national body with the mandate to generate con-sensus on health information standards and to drive forward a national agenda of creating an electronic health record (EHR), and to act as the liaison to international standards and develop-ment organizations. The Canada Health Infoway is not an obstacle to collecting nursing data.
The International Classification for Nursing Practice (ICNP) was developed by the Interna-tional Council of Nurses (ICN). The ICNP comprises seven axes with associated terms for de-scribing nursing practice, and is the only unified international terminology for recording nursing practice. The ICNP is not an obstacle to collecting nursing data.
Lack of evidence-based practices is not an obstacle to the collection of nursing data. As health care systems respond to an increasingly complex technological environment, longstanding rou-tines and tools are being superseded by strategic, evidence-based practices that demand high-quality, timely health information.



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