A nurse is providing nursing care to a group of patients. Which actions are direct care interventions? (Select all that apply.)
Teaching about medications
Performing resuscitation
Inserting a feeding tube
Documenting wound care
Ambulating a patient
Correct Answer : A,B,C,E
A. Teaching about medications. This is correct because providing education to a patient is a direct care intervention, as it involves interaction with the patient to improve their health outcomes.
B. Performing resuscitation. This is correct because resuscitation is a hands-on, immediate intervention aimed at stabilizing a patient, making it a direct care intervention.
C. Inserting a feeding tube. This is correct because placing a feeding tube is a direct intervention that involves a hands-on nursing procedure.
D. Documenting wound care. This is incorrect because documentation is an indirect care intervention. While it is essential for communication and continuity of care, it does not directly affect the patient's condition.
E. Ambulating a patient. This is correct because physically assisting a patient with walking is a direct care intervention that helps prevent complications such as deep vein thrombosis and pneumonia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Skipping breaks can lead to burnout.
B. Taking on another nurse’s task may cause delays in primary responsibilities.
C. Planning for interruptions improves efficiency and prioritization.
D. Completing the easiest tasks first may not be the most efficient approach.
Correct Answer is B
Explanation
A. The diagnosis is not necessarily complex.
B. Nursing diagnoses should be objective and free from judgment. "Laziness" is subjective and inappropriate.
C. No legal issue is present, but professionalism is lacking.
D. The issue is more about the judgmental phrasing than missing data.
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