Which of the following are examples of nursing implementations? (Select All That Apply)

changing a surgical dressing

return demonstration by the patient

changing an ostomy bag

planning patient outcomes

analyzing assessment data

Answer and Explanation

Correct Answer : A,B,C

A. Changing a surgical dressing: This is an example of a nursing implementation. Nurses frequently change dressings as part of their patient care responsibilities.

B. Return demonstration by the patient: This is also an example of a nursing implementation. Nurses often educate patients and then assess their understanding through return demonstrations to ensure the patient can perform tasks correctly at home.

C. Changing an ostomy bag: This is another example of a nursing implementation. It involves hands-on care for patients with ostomies, a responsibility often carried out by nurses.

D. Planning patient outcomes: While planning patient outcomes is crucial for nursing care, it falls more under the category of nursing interventions and nursing process rather than direct implementations.

E. Analyzing assessment data: Analyzing assessment data is part of the nursing process and helps in making decisions about nursing care. While it's essential, it's not a direct implementation action.

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Correct Answer is A

Explanation

A. An independent nursing action:
This statement is correct. Preparing a patient for a diagnostic test and providing information about what to expect during and after the test is within the scope of nursing practice. Nurses can independently educate patients and prepare them for procedures based on their knowledge and protocols.

B. The doctor's responsibility:
This statement is incorrect. While doctors order tests and procedures, it is the responsibility of the nursing staff to prepare the patient, provide necessary information, and ensure the patient's understanding and comfort before the procedure.

C. A dependent nursing action that requires the doctor's authorization:
This statement is incorrect. Preparing a patient for a diagnostic test and providing education about the procedure do not require direct authorization from the doctor. Nurses can perform these actions as part of their nursing practice.

D. An interdependent nursing action:
This statement is incorrect. Interdependent nursing actions involve collaboration with other healthcare professionals. Educating the patient about a diagnostic test is primarily an independent nursing action, although collaboration with other team members might be necessary in certain cases.

A. maintaining skin integrity B. adequate nutrition C. pain control D. airway management

Correct Answer is D

Explanation

A. Maintaining skin integrity:
Maintaining skin integrity is crucial for preventing pressure ulcers and other skin-related issues, especially for patients who are bedridden or have limited mobility. Preventive measures, like turning the patient regularly and keeping the skin clean and dry, are essential. While important, it is not always the highest priority and can be managed alongside other nursing interventions.

B. Adequate nutrition:
Providing adequate nutrition is vital for the patient's overall health and recovery. Malnutrition can impair the healing process and weaken the immune system. However, in immediate critical situations, addressing the airway, breathing, and circulation (ABCs) takes precedence over nutritional concerns. Once the patient is stable, addressing nutrition becomes a priority in the nursing care plan.

C. Pain control:
Managing pain is crucial for a patient's comfort and well-being. Uncontrolled pain can cause anxiety, impair healing, and decrease the overall quality of life. Pain control is a high priority, but in certain emergencies where the patient's airway or circulation is compromised, managing pain might be temporarily secondary until the primary issues are addressed.

D. Airway management:
Ensuring a clear airway is often the highest priority in emergency situations. Without a patent airway, the patient cannot breathe effectively, leading to oxygen deprivation and potential cardiac arrest. Nurses and healthcare providers focus on maintaining or establishing a clear airway to ensure the patient can breathe adequately. Once the airway is secured, attention can be directed to other aspects of care.

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Which of the following are examples of nursing implementations? (Select All That Apply)

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Naxlex Comprehensive Predictor Exams

Preparing a patient for a diagnostic test, and telling the patient what to expect during and after the test, is considered:

Correct Answer is A

Explanation

One of the highest priorities of nursing care is:

Correct Answer is D

Explanation

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