The nurse is reviewing interventions written for a client. Which of the following the nurse will consider as being independent?

Administer medication for high blood pressure

Reposition the client every 2 hours

Starting IV antibiotics

Administering medication for pain

Answer and Explanation

The Correct Answer is B

A. Administer medication for high blood pressure: Administering medication generally requires a physician's order and is not considered an independent nursing action.
B. Reposition the client every 2 hours: This intervention is within the nurse’s scope of practice and does not require a physician’s order. It is an independent action that helps prevent complications like pressure ulcers.
C. Starting IV antibiotics: This action requires a physician's order and is a dependent nursing intervention.
D. Administering medication for pain: Administering medication requires a physician’s order and is not considered an independent nursing action.

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Correct Answer is C

Explanation

A. Acute pain manifested by client's report: While this diagnosis reflects the client's report of pain, it does not address the underlying cause or etiology of the pain, which is important for forming an effective care plan.
B. Acute pain related to psychosomatic condition: This diagnosis implies a specific psychosomatic origin for the pain. Since the etiology is unknown, attributing it to a psychosomatic condition may not be accurate.
C. Acute pain related to unknown etiology: This diagnosis is the most appropriate because it acknowledges the presence of acute pain and explicitly notes that the cause is unknown, which aligns with the information provided.
D. Acute pain related to unknown factors: This diagnosis is similar to C, but "unknown factors" is less precise than "unknown etiology." The term "etiology" more accurately describes the underlying cause.

A. The goal of hospice care is to prolong life. B. Hospice care is limited to clients who are in a health care facility. C. Hospice care is restricted to clients who are terminally ill. D. Hospice care cannot be discontinued once it is initiated.

Correct Answer is C

Explanation

A. The goal of hospice care is to prolong life: Hospice care focuses on providing comfort and improving quality of life rather than prolonging life. It is aimed at managing symptoms and supporting patients and families when a cure is no longer possible.
B. Hospice care is limited to clients who are in a health care facility: Hospice care can be provided in various settings, including the patient's home, nursing homes, or hospice facilities. It is not limited to health care facilities.
C. Hospice care is restricted to clients who are terminally ill: Hospice care is specifically designed for individuals who are terminally ill, typically with a prognosis of 6 months or less to live if the disease runs its usual course. This ensures the care is appropriate and focused on end-of-life comfort.
D. Hospice care cannot be discontinued once it is initiated: Hospice care can be discontinued if the patient's condition improves or if they decide to pursue curative treatment. It is not a permanent commitment.

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The nurse is reviewing interventions written for a client. Which of the following the nurse will consider as being independent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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