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1. A nurse is implementing interventions for a group of
patients. Which actions are nursing interventions?
(Select all that apply.)
a. Order chest x-ray for suspected arm fracture.
b. Prescribe antibiotics for a wound infection.
c. Reposition a patient who is on bed rest.
d. Teach a patient preoperative exercises.
e. Transfer a patient to another hospital unit.
ANS: C, D, E
A nursing intervention is any treatment based on clinical judgment and
knowledge that a nurse performs to enhance patient outcomes. Repositioning,
teaching, and transferring a patient are examples of nursing interventions.
Ordering a chest x-ray and prescribing antibiotics are examples of medical
interventions performed by a health care provider.
2. A nurse is providing nursing care to a group of patients. Which
actions are direct care interventions? (Select all that apply.)
a. Ambulating a patient
b. Inserting a feeding tube
c. Performing resuscitation
d. Documenting wound care
e. Teaching about medications
ANS: A, B, C, E
All of the interventions listed (ambulating, inserting a feeding tube,
performing resuscitation, and teaching) are direct care interventions involving
patient and nurse interaction, except documenting wound care. 1
,Documenting wound care is an example of an indirect intervention.
, 3. A nurse is preparing to carry out interventions. Which
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resources will the nurse make sure are available? (Select all that
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apply.)
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a. Equipment
b. Safe environment jn
c. Confidence
d. Assistive personnel jn
e. Creativity
ANS: A, B, D jn jn jn
A nurse will organize time and resources in preparation for implementing
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nursing care. Most nursing procedures require some equipment or
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supplies. Before performing an intervention, decide which supplies you
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need and determine their availability. Patient care staff (assistive
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personnel) work together as patients’ needs demand it. A patient’s care
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environment needs to be safe and conducive to implementing therapies.
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Confidence and creativity are needed to provide safe and effective patient
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care; however, these are critical thinking attitudes, not resources.
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4. Which interventions are appropriate for a patient with diabetes
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and poor wound healing? (Select all that apply.)
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a. Perform dressing changes twice a day as ordered.
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b. Teach the patient about signs and symptoms of infection.
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c. Instruct the family about how to perform dressing changes.
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d. Gently refocus patient from jn jn jn
discussing body image changes.
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Administer medications to
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control the patient’s blood sugar
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e. ordered.
ANS: A, B, C, E jn jn jn jn
Nursing priorities include interventions directed at enhancing wound healing.
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Teaching the patient about signs and symptoms of infection will help the
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patient identify signs of appropriate wound healing and know when the
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need
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for calling the health care provider arises. Performing dressing changes,
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controlling blood sugars through administration of medications, and
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instructing the family in dressing changes all contribute to wound healing.
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As
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