A nurse is providing nursing care to a group of patients. Which actions are direct care interventions? (Select all that apply.)

Teaching about medications

Performing resuscitation

Inserting a feeding tube

Documenting wound care

Ambulating a patient

Answer and Explanation

Correct Answer : A,B,C,E

A. Teaching about medications. This is correct because providing education to a patient is a direct care intervention, as it involves interaction with the patient to improve their health outcomes.

B. Performing resuscitation. This is correct because resuscitation is a hands-on, immediate intervention aimed at stabilizing a patient, making it a direct care intervention.

C. Inserting a feeding tube. This is correct because placing a feeding tube is a direct intervention that involves a hands-on nursing procedure.

D. Documenting wound care. This is incorrect because documentation is an indirect care intervention. While it is essential for communication and continuity of care, it does not directly affect the patient's condition.

E. Ambulating a patient. This is correct because physically assisting a patient with walking is a direct care intervention that helps prevent complications such as deep vein thrombosis and pneumonia.

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Correct Answer is ["A","D"]

Explanation

A. Independent nursing interventions do not require a provider’s order. Nurses can assist with ADLs independently.

B. IV fluids require a provider’s order.

C. Collaboration is not an independent intervention.

D. Independent nursing interventions do not require a provider’s order. Nurses can assist with ADLs and assess pain independently.

E. Administering prescribed medication requires an order.

A. Planning B. Assessment C. Implementation D. Evaluation

Correct Answer is B

Explanation

A. Planning. This is incorrect because the planning phase involves setting goals and determining interventions based on the assessment data. Allergy information should be collected before this phase.

B. Assessment. This is correct because the assessment phase involves gathering subjective and objective data about the patient. Asking about allergies is part of the initial health history to ensure safe care planning.

C. Implementation. This is incorrect because the implementation phase involves carrying out interventions based on the data collected in the assessment. Checking allergies before giving medications or treatments should occur earlier.

D. Evaluation. This is incorrect because evaluation involves determining the effectiveness of interventions. Allergy assessment should be completed long before this phase to prevent potential reactions.

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A nurse is providing nursing care to a group of patients. Which actions are direct care interventions? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing care to a patient in an acute care facility. Which of the following are examples of independent nursing interventions? (Select All that Apply.)

Correct Answer is ["A","D"]

Explanation

A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client's potential allergies during which phase of the nursing process?

Correct Answer is B

Explanation

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