A nurse and a client engage in communication about the client's length of stay as a result of having open-heart surgery. The unit uses day-by-day specific instructions for nursing care on a form that is at the client's bedside.
What is the cognitive tool that is used in this specific instance that has reduced variation of nursing care received by clients with the same clinical problem, streamlined care to reduce costs, reduced care errors and oversights, and decreased the time nurses spend in documentation?
A) Critical thinking
B) Client care paths
C) Nursing-Sensitive Outcomes Classification
D) Nursing Interventions Classification
Question 2A client arrives from surgery and the nurse assesses the client vital signs, pain level, and bleeding status. Following the assessment, the nurse writes acute pain related to surgery as evidenced by moaning,
verbalization of pain being 10 on a scale of one to 10, and elevated blood pressure. What portion of the nursing process has the nurse utilized?
A) Assessment
B) Planning
C) Diagnosis
D) Evaluation
Question 3A client requests pain medication as a result of incisional pain following a Cesarean section. The client's pain level is five on a ten-point scale with 10 being the worst pain the client has ever had.
Thirty minutes after receiving the pain medication, the client states her pain is a two on the ten-point scale. What is the nursing process step that is described above?
A) Diagnosis
B) Evaluation
C) Planning
D) Implementation
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