The nurse is trying to decide what interventions will assist the patient with dyspnea to meet needs demonstrated by the patient. This phase of the nursing process is:

implementation

evaluation

planning

assessment

Answer and Explanation

The Correct Answer is C

A. Implementation: Implementation occurs after interventions have been planned and involves carrying out those interventions.

B. Evaluation: Evaluation occurs after implementation to assess if the intervention was effective.

C. Planning: The planning phase involves choosing the best interventions based on patient assessment and nursing diagnosis.

D. Assessment: Assessment is gathering information about the patient, not deciding on interventions.

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Correct Answer is C

Explanation

A. It increases cost.: While initial implementation is costly, computerized charting ultimately reduces costs by improving efficiency and reducing errors.

B. It promotes individualization of the medical record.: Computerized systems standardize documentation rather than individualizing it. However, personalization can be added through specific notes.

C. It improves legibility.: Handwritten notes can be illegible, leading to errors. Computerized charting eliminates handwriting issues and ensures clarity.

D. It minimizes the number of forms to be completed.: While it may reduce paperwork, it does not necessarily minimize documentation, as structured data entry is still required.

A. Teaching deep breathing and relaxation techniques as needed B. Inserting a nasogastric tube (NG) to relieve gastric distention C. Placing the nurse call button within reach at all times D. Giving hand massages daily E. Repositioning the patient every 2 hours to reduce pressure injury risk F. Giving acetaminophen (Tylenol) 650 mg orally every 4 hours as needed

Correct Answer is ["A","C","D","E"]

Explanation

A. Teaching deep breathing and relaxation techniques as needed: Teaching non-pharmacological pain relief (such as deep breathing) is an independent nursing action that does not require a physician’s order.

B. Inserting a nasogastric tube (NG) to relieve gastric distention: NG tube insertion requires a physician's order, making it not independent.

C. Placing the nurse call button within reach at all times: Ensuring the patient’s call button is within reach is an independent nursing action to promote safety and communication.

D. Giving hand massages daily: Nurses can provide non-invasive comfort measures such as hand massages without a physician's order.

E. Repositioning the patient every 2 hours to reduce pressure injury risk: Repositioning is an independent intervention that prevents skin breakdown and pressure injuries.

F. Giving acetaminophen (Tylenol) 650 mg orally every 4 hours as needed: Medication administration requires a physician’s order, making it a dependent nursing action.

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The nurse is trying to decide what interventions will assist the patient with dyspnea to meet needs demonstrated by the patient. This phase of the nursing process is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

One benefit of computerized charting is that:

Correct Answer is C

Explanation

The nurse is reviewing the patient's plan of care and ordered treatments. Which of the following is (are) independent nursing interventions? (select all that apply)

Correct Answer is ["A","C","D","E"]

Explanation

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