ADN 110 Final Exam Study Questions and Answers

ADN 110 Final Exam Study Questions and Answers What should the nurse consider before implementation of all nursing interventions? (select all that apply) a. potential communication barriers b. diverse cultural practices c. scope of nursing practices d. functional status of the patient e. time of most recent shift change ANSWER a, b, c, d Cultural practices, functional status, communication barriers, and scope of practice influence whether an intervention should or may be implemented. Shift change time is not necessary to consider before implementation of most interventions. Which intervention would be most important for the nurse to include in a patient's care plan if the patient is unable to complete ADLs without becoming fatigued? a. instruct the patient to shower and shave simultaneously b. discourage the patient from bathing while hospitalized c. encourage the patient to rest between bathing activities d. ask the patient's spouse to assist with all bathing ANSWER Answer: C When patients are unable to complete their personal care without fatigue, it is best to encourage them to rest between activities. All patients should be encouraged to wash during hospitalization and to complete as much of their personal care as independently as possible. Patients who tire easily should not be encouraged to shower and shave simultaneously but should space out personal care while seated.