Order: 1000ml D5W at 120ml/hr. Available: Macro drop 15ml/hr. What is the drip factor in drops per minute?

Choice A rationale

Improved mental status can be a sign of better overall health but is not a specific indicator of improved heart failure status.

Choice B rationale

Using fewer pillows at night indicates reduced orthopnea, a common symptom of heart failure, suggesting that the patient’s heart failure status has improved.

Choice C rationale

Increased skin turgor indicates improved hydration status but is not a specific measure of heart failure improvement.

Choice D rationale

Heart rate regularity is important but does not directly indicate improved heart failure status.

Choice A rationale

Analyzing data collected is part of the assessment phase, not the intervention phase.

Choice B rationale

Collecting a nursing history is part of the assessment phase of the nursing process, not the intervention phase.

Choice C rationale

Determining medication effectiveness is a critical aspect of the intervention phase, as it assesses the therapeutic outcomes of the administered drugs.

Choice D rationale

Documenting the medication is a key action in the intervention phase to ensure accurate and up-to-date patient records and safe administration.

Choice E rationale

Administering the medication is a direct intervention related to drug therapy and is part of the intervention phase.