Author Question: MC When a client does not achieve the expected outcomes listed on the clinical path, in a specific ... (Read 79 times)

JMatthes · **on:** Jul 24, 2018

MC When a client does not achieve the expected outcomes listed on the clinical path, in a specific time frame, what consequences occur?

A. Hospitals must obtain permission to continue to treat the client.
B. An individualized care plan is initialed for the variance.
C. All documentation must now be completed on the individualized care plan.
D. Documentation continues on the individualized care plan until the client is discharged.

Question 2

Before administering an epidural medication, the nurse aspirates and suspects that the catheter has migrated into the subarachnoid space when:

a. clear drainage is noted.
b. no drainage is noted.
c. purulent drainage is noted.
d. redness, warmth, and edema are noted.

johnharpe · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

B

Answer to Question 2

A
Aspiration of more than 1 mL of clear fluid or bloody return means that the catheter may have migrated into the subarachnoid space or into a vessel. Do not inject the drug. Notify the physician. Purulent drainage is a sign of infection, indicating that local inflammation and superficial skin infection at the insertion site have occurred.