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Week 2
Implementation
Question | Answer |
---|---|
The nurse is caring for a post-operative patient. Which intervention is considered to be prevention-oriented? | Post-operative ambulation |
What are the highest-priority interventions? | Problem-oriented |
Which is an example of a collaborative nursing intervention? | Nursing assistant providing range-of-motion on the patient |
Which is an example of an indirect-care intervention? | Communication with providers |
The nurse has assessed the patient and established a nursing diagnosis of Risk for Impaired Skin Integrity related to immobility. What is the next step of the nursing process? | Implement the interventions |
Why should the nurse reference Nursing Interventions Classification (NIC) when documenting interventions? | It is useful for clinical documentation. |
The nurse performs patient care interventions according to the individualized care plan. What is the next step in the process? | Document the interventions. |
The nurse is caring for a patient receiving anticoagulant therapy. Which intervention is considered to be a dependent intervention? | Holding dose due to abnormal lab value |
The nurse is caring for a post-operative patient following hip repair. Which intervention is considered to be collaborative? | Ambulation with physical therapy |
Nurses conduct change-of-shift reports to communicate assessment findings and outstanding nursing interventions. What type of intervention is this? | Indirect-care |