sherpath questions - nurs 230 exam 2
Which category of nursing interventions will the nurse document for an intervention prescribed
by the health care provider to treat the medical diagnosis of the patient?
a. primary
b. interdependent
c. dependent
d. independent
c. dependent
rationale = dependent nursing interventions require the health care providers prescriptions to
treat a medical diagnosis
Which criterion is used to evaluate efficacy of interventions?
a. consultation
b. critical thinking
c. communication
d. expected outcome
d. expected outcome
We have an expert-written solution to this problem!
which action is an example of a collaborative intervention?
a. provide frequent mouth care
b. maintain intravenous (IV) infusion at 100 ml/hr
c. administer prochlorperazine via rectal suppository
d. consult with dietitian on initial foods to offer patient
d. consult with dietitian on initial foods to offer patient
which word does T represent in the SMART acronym as it relates to setting goals for the
patient?
timed
which actions describes an independent nursing intervention? (select all that apply)
inserting a urinary catheter
offering counseling for coping
initiating early mobility protocols
instructing patients on side effects of medications
,positioning patients to prevent pressure injury formation
offering counseling for coping
initiating early mobility protocols
instructing patients on side effects of medications
positioning patients to prevent pressure injury formation
We have an expert-written solution to this problem!
which expected outcome for the goal "patient will achieve a gain of 10 pounds (4.5 kg) in body
weight in a month" is written correctly?
a. patient will eat at least three-fourths of each meal by the end of 1 week
b. patient will verbalize relief of nausea and have no episodes of vomiting in 1 week
c. provide patient high-calorie meals 3 times a day
a. patient will eat at least three-fourths of each meal by the end of 1 week
which patient care goal is a long-term goal for a newly diagnosed medically unstable patient
with diabetes?
a. patient will explain the relationship of insulin to blood glucose control
b. patient will achieve glucose control as demonstrated by a decrease in hemoglobin A1C level
c. patient will list the steps for preparing insulin in a syringe
b. patient will achieve glucose control as demonstrated by a decrease in hemoglobin A1C level
how many classes are included in the second level of the Nursing Interventions Classification
(NIC) model?
30
We have an expert-written solution to this problem!
which statement by the nurse is the characteristic of an effective hand-off report?
a. "this patient is anxious about pain after surgery; you will need to review the information about
how to use a patient-controlled analgesia (PCA) pump this evening"
b. "the patient had an argument with a former boyfriend. It was like a zoo with all the yelling and
name calling"
c. "I'll just give you report here outside the room since the patient is sleeping"
a. "this patient is anxious about pain after surgery; you will need to review the information about
how to use a patient-controlled analgesia (PCA) pump this evening"
which outcome would be directly related to the goal of pain relief for a confused patient?
a. patient will display three or fewer nonverbal signs of discomfort
b.patient will follow a set care routine
c. patient will be oriented to person, time, and place
, a. patient will display three or fewer nonverbal signs of discomfort
which correctly written nursing intervention will the nurse add to the plan of care? (select all that
apply)
a. reposition the patient every 2 hours
b. perform blood glucose measurements
c. measure blood glucose before each meal 7:00, 11:00, and 5:00
d. turn the patient every 2 hours from supine to prone to right side
e. give sitz bath
c. measure blood glucose before each meal 7:00, 11:00, and 5:00
d. turn the patient every 2 hours from supine to prone to right side
which patient outcome regarding a would would allow the nurse to measure a patient's response
to care more precisely?
a. will appear normal within 3 days
b. will have less drainage within 72 hours
c. will reduce in size less than 4 cm (1.5 inches) by day 4
d. will heal without redness or drainage by day 4
c. will reduce in size less than 4 cm (1.5 inches) by day 4
We have an expert-written solution to this problem!
which purpose is determined by setting a time frame for outcomes of care?
a. priority level
b. time it takes to complete an intervention
c. how long the nurse is scheduled to care for a patient
d. when the patient is expected to respond in the desired manner
d. when the patient is expected to respond in the desired manner
which priority level would be assigned to the patient diagnosed with decreased gas exchange?
a. high
b. low
c. medium
d. intermediate
a. high
We have an expert-written solution to this problem!
which type of problem is a high priority?
a. one related to non urgent needs of the patients
Which category of nursing interventions will the nurse document for an intervention prescribed
by the health care provider to treat the medical diagnosis of the patient?
a. primary
b. interdependent
c. dependent
d. independent
c. dependent
rationale = dependent nursing interventions require the health care providers prescriptions to
treat a medical diagnosis
Which criterion is used to evaluate efficacy of interventions?
a. consultation
b. critical thinking
c. communication
d. expected outcome
d. expected outcome
We have an expert-written solution to this problem!
which action is an example of a collaborative intervention?
a. provide frequent mouth care
b. maintain intravenous (IV) infusion at 100 ml/hr
c. administer prochlorperazine via rectal suppository
d. consult with dietitian on initial foods to offer patient
d. consult with dietitian on initial foods to offer patient
which word does T represent in the SMART acronym as it relates to setting goals for the
patient?
timed
which actions describes an independent nursing intervention? (select all that apply)
inserting a urinary catheter
offering counseling for coping
initiating early mobility protocols
instructing patients on side effects of medications
,positioning patients to prevent pressure injury formation
offering counseling for coping
initiating early mobility protocols
instructing patients on side effects of medications
positioning patients to prevent pressure injury formation
We have an expert-written solution to this problem!
which expected outcome for the goal "patient will achieve a gain of 10 pounds (4.5 kg) in body
weight in a month" is written correctly?
a. patient will eat at least three-fourths of each meal by the end of 1 week
b. patient will verbalize relief of nausea and have no episodes of vomiting in 1 week
c. provide patient high-calorie meals 3 times a day
a. patient will eat at least three-fourths of each meal by the end of 1 week
which patient care goal is a long-term goal for a newly diagnosed medically unstable patient
with diabetes?
a. patient will explain the relationship of insulin to blood glucose control
b. patient will achieve glucose control as demonstrated by a decrease in hemoglobin A1C level
c. patient will list the steps for preparing insulin in a syringe
b. patient will achieve glucose control as demonstrated by a decrease in hemoglobin A1C level
how many classes are included in the second level of the Nursing Interventions Classification
(NIC) model?
30
We have an expert-written solution to this problem!
which statement by the nurse is the characteristic of an effective hand-off report?
a. "this patient is anxious about pain after surgery; you will need to review the information about
how to use a patient-controlled analgesia (PCA) pump this evening"
b. "the patient had an argument with a former boyfriend. It was like a zoo with all the yelling and
name calling"
c. "I'll just give you report here outside the room since the patient is sleeping"
a. "this patient is anxious about pain after surgery; you will need to review the information about
how to use a patient-controlled analgesia (PCA) pump this evening"
which outcome would be directly related to the goal of pain relief for a confused patient?
a. patient will display three or fewer nonverbal signs of discomfort
b.patient will follow a set care routine
c. patient will be oriented to person, time, and place
, a. patient will display three or fewer nonverbal signs of discomfort
which correctly written nursing intervention will the nurse add to the plan of care? (select all that
apply)
a. reposition the patient every 2 hours
b. perform blood glucose measurements
c. measure blood glucose before each meal 7:00, 11:00, and 5:00
d. turn the patient every 2 hours from supine to prone to right side
e. give sitz bath
c. measure blood glucose before each meal 7:00, 11:00, and 5:00
d. turn the patient every 2 hours from supine to prone to right side
which patient outcome regarding a would would allow the nurse to measure a patient's response
to care more precisely?
a. will appear normal within 3 days
b. will have less drainage within 72 hours
c. will reduce in size less than 4 cm (1.5 inches) by day 4
d. will heal without redness or drainage by day 4
c. will reduce in size less than 4 cm (1.5 inches) by day 4
We have an expert-written solution to this problem!
which purpose is determined by setting a time frame for outcomes of care?
a. priority level
b. time it takes to complete an intervention
c. how long the nurse is scheduled to care for a patient
d. when the patient is expected to respond in the desired manner
d. when the patient is expected to respond in the desired manner
which priority level would be assigned to the patient diagnosed with decreased gas exchange?
a. high
b. low
c. medium
d. intermediate
a. high
We have an expert-written solution to this problem!
which type of problem is a high priority?
a. one related to non urgent needs of the patients
