The nurse is providing care to a patient in an acute care facility. Which of the following are examples of independent nursing interventions? (Select All that Apply.)
Assisting a client with activities of daily living
Administering intravenous fluids
Collaborating with the interprofessional healthcare team
Assessing client's pain level
Administering medication as prescribed by the physician
Correct Answer : A,D
A. Independent nursing interventions do not require a provider’s order. Nurses can assist with ADLs independently.
B. IV fluids require a provider’s order.
C. Collaboration is not an independent intervention.
D. Independent nursing interventions do not require a provider’s order. Nurses can assist with ADLs and assess pain independently.
E. Administering prescribed medication requires an order.
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Related Questions
Correct Answer is C
Explanation
A. While teamwork is crucial, patient input should come first to ensure the plan aligns with their needs and capabilities.
B. Family involvement is beneficial, but the patient should have the primary role in decision-making.
C. Effective discharge planning is patient-centered, ensuring that goals align with their preferences, abilities, and resources.
D. Although discharge planning should begin at admission, the most important factor for success is patient involvement.
Correct Answer is A
Explanation
A. Maslow’s hierarchy prioritizes physiological needs first, including nutrition, hydration, and oxygenation. This is the most immediate concern.
B. While mental health is important, psychosocial needs are a lower priority than basic physiological needs like nutrition.
C. Fall prevention is essential, but it is a potential problem rather than an existing physiological issue, making it a lower priority than inadequate nutrition.
D. Mobility is important, but ensuring adequate nutrition is more critical to prevent further complications such as muscle wasting and delayed wound healing.
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