Chapter 18-20 nursing 302 Questions With Complete
Solutions
"patient will be able to walk on crutches after teaching session"
Correct Answers discontinue the current interventions
arrange the steps in proper sequence for measures the nurse
would take when a patient does not meet the goal stated in the
care plan Correct Answers reassess the patient
determine the
accuracy of the nursing diagnosis
establish new goals and expected outcomes
select a new intervention
How many classes are included in the second level of nursing
interventions classification (NIC) model Correct Answers 30
Place the following events in order of priority of nursing care,
starting with the most important event Correct Answers The
patients vital signs change, showing a drop in bp
The patient expresses concern about pain
The family comes to visit the patient
The charge nurse approached the nurse and requests a report at
end of shift
Prioritize Nursing Diagnosis for an older adult patient with
pneumonia who is fatigued and live alone Correct Answers
Reduced oxygenation
,Threat of immobility
Poor health management
Possible isolation from the community
when delivering patient care, which intervention does the nurse
perform as part of the evaluation process Correct Answers
recognizes unmet outcomes
when delivering patient care, which intervention does the nurse
perform as part of the evaluation process? Correct Answers
recognizes unmet outcomes
When does implementation begin? Correct Answers After the
care plan has been developed
which action by the nurse reflects critical thinking while
implementing interventions with patients Correct Answers
review all potential complications associated with the
interventions
which action demonstrates nursing competency when evaluating
a patient Correct Answers examine
compare
recognize
understand
reflect
(all of the above)
Which action describes an independent nursing intervention
Correct Answers Offering counseling for coping
,Initiating early mobility protocols
Instructing patients on side effects of medications
Positioning patients to prevent pressure injury formation
Which action does the nurse take right before implementing
interventions Correct Answers reassess the patient
Which action indicates that the nurse is using physical care
techniques Correct Answers Using safe patient-handling
procedures
Which action is an example of a collaborative intervention
Correct Answers Consult with dietitian on initial foods to offer
patient
Which action is an example of a dependent nursing intervention
Correct Answers Inserting a Foley catheter
Dressing a surgical incision wound
Administering an antidepressive drug
Which action is an example of an independent nursing
intervention Correct Answers Provide health education
Assist with daily activities
Reposition a patient
, Which action is classified as an indirect care measure Correct
Answers Checks the monthly performance improvement report
on fall occurrences on a unit
Consults with a dietitian about a patient's therapeutic diet food
choices
Which action performed for the patient is a nurse initiated
intervention Correct Answers Elevating an edematous leg
Offering counseling for coping
Initiating early mobility protocols
Which action will the nurse include when discussing the need to
respect patients wishes and determine patient preferences related
to culture regarding activities of daily living Correct Answers
Transferring a patients care to a staff member who is the same
gender as the patient
Which action will the nurse perform first when entering the
room and finding the patients drainage tube disconnected, 100
ml of fluid in the intravenous line,and the patient asking to be
turned Correct Answers Reconnect the drainage tubing
Which action will the nurse perform when revising a nursing
care plan Correct Answers Revise the nursing diagnosis
Add new Data with appropriate dates
Solutions
"patient will be able to walk on crutches after teaching session"
Correct Answers discontinue the current interventions
arrange the steps in proper sequence for measures the nurse
would take when a patient does not meet the goal stated in the
care plan Correct Answers reassess the patient
determine the
accuracy of the nursing diagnosis
establish new goals and expected outcomes
select a new intervention
How many classes are included in the second level of nursing
interventions classification (NIC) model Correct Answers 30
Place the following events in order of priority of nursing care,
starting with the most important event Correct Answers The
patients vital signs change, showing a drop in bp
The patient expresses concern about pain
The family comes to visit the patient
The charge nurse approached the nurse and requests a report at
end of shift
Prioritize Nursing Diagnosis for an older adult patient with
pneumonia who is fatigued and live alone Correct Answers
Reduced oxygenation
,Threat of immobility
Poor health management
Possible isolation from the community
when delivering patient care, which intervention does the nurse
perform as part of the evaluation process Correct Answers
recognizes unmet outcomes
when delivering patient care, which intervention does the nurse
perform as part of the evaluation process? Correct Answers
recognizes unmet outcomes
When does implementation begin? Correct Answers After the
care plan has been developed
which action by the nurse reflects critical thinking while
implementing interventions with patients Correct Answers
review all potential complications associated with the
interventions
which action demonstrates nursing competency when evaluating
a patient Correct Answers examine
compare
recognize
understand
reflect
(all of the above)
Which action describes an independent nursing intervention
Correct Answers Offering counseling for coping
,Initiating early mobility protocols
Instructing patients on side effects of medications
Positioning patients to prevent pressure injury formation
Which action does the nurse take right before implementing
interventions Correct Answers reassess the patient
Which action indicates that the nurse is using physical care
techniques Correct Answers Using safe patient-handling
procedures
Which action is an example of a collaborative intervention
Correct Answers Consult with dietitian on initial foods to offer
patient
Which action is an example of a dependent nursing intervention
Correct Answers Inserting a Foley catheter
Dressing a surgical incision wound
Administering an antidepressive drug
Which action is an example of an independent nursing
intervention Correct Answers Provide health education
Assist with daily activities
Reposition a patient
, Which action is classified as an indirect care measure Correct
Answers Checks the monthly performance improvement report
on fall occurrences on a unit
Consults with a dietitian about a patient's therapeutic diet food
choices
Which action performed for the patient is a nurse initiated
intervention Correct Answers Elevating an edematous leg
Offering counseling for coping
Initiating early mobility protocols
Which action will the nurse include when discussing the need to
respect patients wishes and determine patient preferences related
to culture regarding activities of daily living Correct Answers
Transferring a patients care to a staff member who is the same
gender as the patient
Which action will the nurse perform first when entering the
room and finding the patients drainage tube disconnected, 100
ml of fluid in the intravenous line,and the patient asking to be
turned Correct Answers Reconnect the drainage tubing
Which action will the nurse perform when revising a nursing
care plan Correct Answers Revise the nursing diagnosis
Add new Data with appropriate dates
