Author Question: Before the clinical experience begins, the student must be aware of the client's pertinent history, ... (Read 41 times)

clmills979 · **on:** Jul 23, 2018

Before the clinical experience begins, the student must be aware of the client's pertinent history, daily treatments, diagnostic procedures, allergies, problems, and other information in order to provide the most appropriate care during the shift.

In order to help the student save time in researching all of this information, the review should begin with the:
1. The client's medical record
2. The MAR (medication administration record)
3. The written care plan
4. The Kardex

Question 2

A client did not meet the goal of walking unassisted, without assistive devices, by discharge from rehabilitation. The case manager using a critical pathway would identify this as which of the following?

1. An unattainable goal
2. A variance
3. An error in care planning
4. An error in intervention implementation

macagn · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: The medical record contains this type of information but the complete chart is lengthy and would take the student more time to review.
Rationale 2: The MAR includes only those medications that are prescribed or scheduled to be administered during the client's stay. It would not include other information like diagnostic tests, daily cares, and so on.
Rationale 3: The written care plan may be utilized but there is another more effective option available.
Rationale 4: The Kardex is a concise method of organizing and recording data about a client, making information quickly accessible to all health professionals. The system is on either an index-type file or a computer-generated form. Information is usually organized into sections: client history/information, list of medications, IV fluids, daily treatments and procedures, diagnostic procedures, allergies, how the client's physical needs are met (type of diet, bathing needs, etc.), and a problem list with stated goals.

Answer to Question 2

Correct Answer: 2
Rationale: Critical pathways are a multidisciplinary approach to planning and documenting client care. Flow sheets, as well as some types of charting by exception, are utilized in critical pathways. When a goal is not reached, it is not referred to as an unattainable goal since a change in the client's care plan may result in success.