A nurse is using the PIE format to write a progress note for a client who has constipation.
Which of the following statements should the nurse include as the intervention?
“Encouraged the client to increase fluid and fiber intake.”.
“Assessed the client’s bowel sounds and abdominal distension.”.
“Administered bisacodyl suppository as prescribed.”.
“Evaluated the client’s response to the suppository.”.
The Correct Answer is C
“Administered bisacodyl suppository as prescribed.”.
The PIE format is a method of documentation that states the problem or diagnosis (P), the intervention or action the nurse takes (I), and the evaluation of the results (E). It eliminates the need for a traditional care plan by incorporating it into the progress notes.
The intervention is the action that the nurse takes to address the problem.
In this case, the problem is constipation, and the intervention is administering a bisacodyl suppository as prescribed by the physician.
This is a specific and measurable action that can be evaluated later.
Choice A is wrong because it is not an intervention, but a health promotion activity.
Encouraging the client to increase fluid and fiber intake is a good practice, but it is not directly related to the problem of constipation.
Choice B is wrong because it is not an intervention, but an assessment.
Assessing the client’s bowel sounds and abdominal distension is part of the data collection process, but it does not solve the problem of constipation.
Choice D is wrong because it is not an intervention, but an evaluation.
Evaluating the client’s response to the suppository is the last step of the PIE format, where the nurse determines if the intervention was effective or not.
It does not describe what the nurse did to address the problem of constipation.
The normal range for bowel movements varies from person to person, but generally, having less than three bowel movements per week is considered constipation. Constipation can be caused by various factors, such as medication side effects, dehydration, low-fiber diet, lack of physical activity, or underlying medical conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
“Administered bisacodyl suppository as prescribed.”.
The PIE format is a method of documentation that states theproblemor diagnosis (P), theinterventionor action the nurse takes (I), and theevaluationof the results (E).It eliminates the need for a traditional care plan by incorporating it into the progress notes.
The intervention is the action that the nurse takes to address the problem.
In this case, the problem is constipation, and the intervention is administering a bisacodyl suppository as prescribed by the physician.
This is a specific and measurable action that can be evaluated later.
Choice A is wrong because it is not an intervention, but a health promotion activity.
Encouraging the client to increase fluid and fiber intake is a good practice, but it is not directly related to the problem of constipation.
Choice B is wrong because it is not an intervention, but an assessment.
Assessing the client’s bowel sounds and abdominal distension is part of the data collection process, but it does not solve the problem of constipation.
Choice D is wrong because it is not an intervention, but an evaluation.
Evaluating the client’s response to the suppository is the last step of the PIE format, where the nurse determines if the intervention was effective or not.
It does not describe what the nurse did to address the problem of constipation.
The normal range for bowel movements varies from person to person, but generally, having less than three bowel movements per week is considered constipation.Constipation can be caused by various factors, such as medication side effects, dehydration, low-fiber diet, lack of physical activity, or underlying medical conditions.
Correct Answer is D
Explanation
It keeps data from each person or department in a separate section.A source-oriented record is a type of documentation system that organizes the data according to the source of information, such as the physician, nurse, laboratory, or physical therapy.This format has the advantage of making it easy to locate and trace the information from each person or department who provided care to the client.
Choice A is wrong because it does not encourage collaboration among health care providers.In fact, a source-oriented record may hinder communication and coordination of care because the data are fragmented and scattered throughout the chart.
Choice B is wrong because it does not organize the data according to the client’s problems.A problem-oriented medical record (POMR) is a different type of documentation system that arranges the data based on the problems identified by the health care team.The POMR has four components: database, problem list, plan of care, and progress notes.
Choice C is wrong because it does not track the status of each problem using a problem list.This is also a feature of the POMR, not the source-oriented record.A problem list is a numbered list of the client’s current and resolved problems that serves as an index to the progress notes.
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