Implementing Nursing Care Paper Essay

Implementing Nursing Care Paper

9. For each of the following interventions, note which are direct
and which are indirect nursing interventions. Place a D for
direct or I for indirect in the space provided
1. A nurse checks the monthly performance improvement
report on fall occurrences on a unit. _______________
2. A nurse discusses with the patient exercise restrictions to
follow on return home. _______________
3. A nurse consults with a dietitian about a patient’s therapeutic diet food choices. _______________
4. A nurse administers a tube feeding. _______________
5. A nurse assists a colleague in applying a complex dressing
to a patient’s wound. _______________
10. A nurse is talking with a patient who is visiting a neighborhood
health clinic. The patient came to the clinic for repeated symptoms of a sinus infection. During their discussion the nurse
checks the patient’s medical record and realizes that he is due
for a tetanus shot. Administering the shot is an example of
what type of preventive intervention?
1. Tertiary
2. Direct care
3. Primary
4. Secondary
11. A nurse is orienting a new graduate nurse to the unit. The
graduate nurse asks, “Why do we have standing orders for cases
when patients develop life-threatening arrhythmias? Is not
each patient’s situation unique?” What is the nurse’s best
answer?
1. Standing orders are used to meet our physician’s
preferences.
2. Standing orders ensure that we are familiar with evidencebased guidelines for care of arrhythmias.
3. Standing orders allow us to respond quickly and safely to a
rapidly changing clinical situation.
4. Standing orders minimize the documentation we have to
provide.
12. A nurse on a cancer unit is reviewing and revising the written
plan of care for a patient who has the nursing diagnosis of
nausea. Place the following steps in their proper order:

1. The nurse revises approaches in the plan for controlling
environmental factors that worsen nausea.
2. The nurse enters data in the assessment column showing
new information about the patient’s nausea.
3. The nurse adds the current date to show that the diagnosis
of nausea is still relevant.
4. The nurse decides to use the patient’s self-report of appetite
and fluid intake as evaluation measures.
13. When a nurse properly positions a patient and administers an
enema solution at the correct rate for the patient’s tolerance,
this is an example of what type of implementation skill?
1. Interpersonal
2. Cognitive
3. Collaborative
4. Psychomotor
14. The nurse reviews a patient’s medical record and sees that
tube feedings are to begin after a feeding tube is inserted. In
recent past experiences the nurse has seen patients on the unit
develop diarrhea from tube feedings. The nurse consults with
the dietitian and physician to determine the initial rate that
will be ordered for the feeding to lessen the chance of diarrhea.
This is an example of what type of direct care measure?
1. Preventive
2. Controlling for an adverse reaction
3. Consulting
4. Counseling
15. A nurse is starting on the evening shift and is assigned to care
for a patient with a diagnosis of impaired skin integrity related
to pressure and moisture on the skin. The patient is 72 years old
and had a stroke. The patient weighs 250 pounds and is difficult to turn. As the nurse makes decisions about how to
implement skin care for the patient, which of the following
actions does the nurse implement? (Select all that apply.)
1. Review the set of all possible nursing interventions for the
patient’s problem
2. Review all possible consequences associated with each possible nursing action
3. Consider own level of competency
4. Determine the probability of all possible consequences

Implementing Nursing Care Paper Essay

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