Exam 6: Planning Interventions

The nurse works in an acute care setting as a patient educator for patients newly diagnosed with diabetes mellitus. Which nursing intervention by this nurse is an indirect-care intervention?

The nurse is performing preoperative teaching for a client who is scheduled for surgery in the morning. The client does not at present have any respiratory problems. The nurse's teaching plan includes coughing and deep-breathing exercises. Which type of nursing intervention is the nurse performing?

The quality assurance team is reviewing nursing documentation for quality and correctness. Which is the best example of a well-written nursing order?

The nurse completes the plan of care for a patient with a medical diagnosis of Gall Bladder Disease. Which consideration will the nurse use when selecting nursing interventions to best help the patient achieve desired outcomes? Select all that apply.

A nurse makes a nursing diagnosis of Acute Pain related to the postoperative abdominal incision. The nurse writes a nursing order to reposition the client in a comfortable position by using pillows to splint or support the painful areas. Which type of nursing intervention did the nurse write?

The nurse is providing care for an adult smoker hospitalized on a medical-surgical unit. The patient states, "I'd really like some help in quitting smoking." As part of the nurse's intervention plan, a smoking cessation class is included. Which type of intervention is the nurse performing?

A client is admitted to the hospital with an acute episode of chronic obstructive pulmonary (lung) disease. The nurse makes a diagnosis of Ineffective Breathing Pattern related to inability to maintain adequate rate and depth of respirations and has recorded the diagnosis and appropriate goals on the care plan. When selecting nursing interventions, which nursing action does the nurse do first?

The nurse is using electronic care planning. The nurse enters the patient's nursing diagnosis into the computer, selects desired outcomes, and validates the patient data, diagnosis, and goals. When considering the list of program generated interventions, the nurse identifies none of them fits this patient's individual needs. Which action does the nurse take?

The nurse recognizes which statement(s) about nursing interventions as being true? Select all that apply.

A client newly diagnosed with diabetes mellitus is admitted to the hospital because of poorly controlled glucose levels. Which action by the nurse is an appropriate direct-care intervention for this client during the client's hospitalization?

The nurse is gathering data on a patient who is admitted. During the admission process, the nurse notices constant throat clearing behaviors by the patient. Which intervention does the nurse implement if viewing the patient's behavior from a physiological viewpoint?

The nurse is developing a plan of care for a client at an adult wellness clinic. Which primary decision maker does the nurse recognize when caring for healthy adult clients?

The nurse is selecting nursing interventions for a patient with diabetes mellitus. Which available resources does the nurse use to assist in the selection of interventions? Select all that apply.

An adult patient returns to the medical-surgical unit after undergoing abdominal surgery for colon cancer. Which is an appropriate, correctly written nursing order for this patient?

Which is the best example of a well-written nursing order?

The nurse is completing a plan of care for a patient with congestive heart failure. Which direct-care nursing intervention does the nurse perform?

A client is admitted to the hospital with an acute respiratory problem resulting from lung disease. The nurse makes a diagnosis of Ineffective Breathing Pattern related to inability to maintain adequate rate and depth of respirations. Which nursing intervention should be listed first on the care plan?

The nurse is aware of which descriptions being best related to the primary goal(s) of evidence-based practice (EBP)? Select all that apply.

The nurse works in an acute healthcare facility on a unit where patients with chronic health problems frequently return for treatment and management. The nurses are expected to use evidence-based practice (EBP) for the determination of best care. Which action by a nurse reflects understanding about EBP?

The nurse finishes developing the nursing interventions for a patient. Which questions does the nurse ask mentally after the development and before the implementation of nursing interventions? Select all that apply.