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care systems respond to an increasingly complex technological environment, longstanding rou-tines and tools are being superseded by strategic, evidence-based practices that demand high-quality, timely health information.
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