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 A

Explanation

A. Provide educational material written at an eighth-grade reading level: This ensures that the educational material is accessible and understandable for clients, facilitating better comprehension and retention of information.
B. Turn on the television in the client's room: This is not conducive to effective teaching and may distract the client from the important information being provided.
C. Use technical language in the educational session: Using technical language can confuse clients and hinder their understanding. It is better to use plain language to ensure clarity.
D. Start with the most important information: While prioritizing information is important, the initial focus should be on assessing the client's understanding and tailoring the teaching to their specific needs before covering critical details.

A. Grandparents B. Admitting provider C. Parents D. Medical record

Correct Answer is C

Explanation

A. Grandparents: While grandparents can provide useful information, the primary and most accurate data source for a toddler's immediate care and developmental history would typically be the parents, who are the primary caregivers.
B. Admitting provider: The admitting provider offers valuable medical information, but the best source of data regarding the child’s current condition and history would come from those who are closest to the child and involved in their daily care.
C. Parents: Parents are the most reliable source for accurate and up-to-date information about their child’s health, developmental history, and current condition. They are directly involved in the child's daily life and care.
D. Medical record: While the medical record contains important historical data, the most current and relevant information about the toddler’s condition and immediate needs should be obtained from the parents.

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

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