The nurse is reviewing interventions written for a client. Which of the following the nurse will consider as being independent?
Administer medication for high blood pressure
Reposition the client every 2 hours
Starting IV antibiotics
Administering medication for pain
Administering medication for pain
The Correct Answer is B
A. Administer medication for high blood pressure: Administering medication generally requires a physician's order and is not considered an independent nursing action.
B. Reposition the client every 2 hours: This intervention is within the nurse’s scope of practice and does not require a physician’s order. It is an independent action that helps prevent complications like pressure ulcers.
C. Starting IV antibiotics: This action requires a physician's order and is a dependent nursing intervention.
D. Administering medication for pain: Administering medication requires a physician’s order and is not considered an independent nursing action.
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Related Questions
Correct Answer is C
Explanation
A. Grandparents: While grandparents can provide valuable information, parents are typically the primary source of information about a child’s medical history, current symptoms, and behavioral changes.
B. Admitting provider: The admitting provider's role is to assess and diagnose the client. While they provide essential clinical information, they are not the primary source for personal and historical data about the client.
C. Parents: Parents are the most reliable source of information regarding the toddler's medical history, current condition, and any changes in behavior or health. They are most familiar with the child’s day-to-day health and medical background.
D. Medical record: Although the medical record contains important information, it may not have the most recent updates or contextual details that parents can provide. It is important to corroborate the information in the medical record with input from the parents.
Correct Answer is B
Explanation
A. The goal of palliative care is to prolong the life of a client: The primary goal of palliative care is to improve the quality of life by alleviating symptoms and providing support, rather than specifically prolonging life.
B. Palliative care is not restricted to clients who are terminally ill: Palliative care can be provided to any client with a serious illness, regardless of the stage of their condition. It focuses on comfort and quality of life rather than just end-of-life care.
C. Palliative care should be avoided for a client who is receiving a cure: Palliative care is not mutually exclusive with curative treatment. It can be provided alongside curative therapies to manage symptoms and improve the client’s quality of life.
D. Palliative care is limited to clients who are in a health care facility: Palliative care can be provided in various settings, including at home, in outpatient clinics, and in healthcare facilities. It is not restricted to any particular location.
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