Charting By Exception (CBE)
Charting By Exception (CBE) ( 5 Questions)
A nurse is caring for a client who is on a critical pathway for a total hip arthroplasty.
The nurse notices that the client has developed a wound infection on postoperative day 3.
What should the nurse do next?
Notify the surgeon and document the wound infection as a variance. A variance is a deviation from the expected course of care or outcome in a critical pathway. A wound infection is an example of a variance that can affect the patient’s recovery and length of stay after a total hip arthroplasty (THA).
The nurse should notify the surgeon to initiate appropriate treatment and document the infection as a variance in the patient’s record
Changing the dressing alone is not sufficient to treat a wound infection.
The nurse should also notify the surgeon and document the infection as a variance.
A wound infection is not an expected outcome of THA. It is a complication that can increase the risk of implant failure, sepsis, and revision surgery.
Discontinuing the critical pathway is not necessary or appropriate for a wound infection. The critical pathway is a guideline for optimal care that can be modified according to the patient’s condition and needs.
The nurse should follow the critical pathway as much as possible and document any variances.
Notify the surgeon and document the wound infection as a variance. A variance is a deviation from the expected course of care or outcome in a critical pathway. A wound infection is an example of a variance that can affect the patient’s recovery and length of stay after a total hip arthroplasty (THA).
The nurse should notify the surgeon to initiate appropriate treatment and document the infection as a variance in the patient’s record.
Choice B is wrong because changing the dressing alone is not sufficient to treat a wound infection.
The nurse should also notify the surgeon and document the infection as a variance.
Choice C is wrong because a wound infection is not an expected outcome of THA. It is a complication that can increase the risk of implant failure, sepsis, and revision surgery.
Choice D is wrong because discontinuing the critical pathway is not necessary or appropriate for a wound infection. The critical pathway is a guideline for optimal care that can be modified according to the patient’s condition and needs.
The nurse should follow the critical pathway as much as possible and document any variances.
Normal ranges for wound healing after THA are not well defined, but some signs of infection include increased pain, swelling, redness, drainage, fever, and elevated white blood cell count.
The nurse should monitor these signs and report any changes to the surgeon.