Which behavior indicates the nurse is using a team approach when caring for a patient who is experiencing alterations in mobility?
Involves respiratory therapy for altered breathing from severe anxiety levels.
Delegates assessment of lung sounds to nursing assistive personnel.
Becomes solely responsible for modifying activities of daily living.
Consults physical therapy for strengthening exercises in the extremities.
The Correct Answer is D
A. Involves respiratory therapy for altered breathing from severe anxiety levels: This behavior demonstrates collaboration with other healthcare professionals but does not directly relate to a team approach for managing mobility issues.
B. Delegates assessment of lung sounds to nursing assistive personnel: Delegation of tasks such as assessing lung sounds is a nursing responsibility but does not involve the broader team approach necessary for comprehensive care.
C. Becomes solely responsible for modifying activities of daily living: Handling all aspects of a patient's care individually does not reflect a team approach, which involves collaborating with various specialists.
D. Consults physical therapy for strengthening exercises in the extremities: This behavior exemplifies a team approach by involving physical therapy specialists to address mobility issues. It reflects collaboration with other disciplines to provide comprehensive care.
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Related Questions
Correct Answer is D
Explanation
A. "Advance the cane 12 inches forward when walking." Advancing the cane 12 inches forward is not practical; the cane should be moved in a manner that aligns with the client's steps for better balance and support. The movement of the cane should be synchronized with the client's stride rather than a fixed distance.
B. "Keep the cane at the same level as the affected leg when climbing stairs." When climbing stairs, the cane should be held on the side of the unaffected leg to provide optimal support and balance. Keeping the cane level with the affected leg is incorrect and does not provide adequate support.
C. "Hold the cane on the side of your affected leg when walking." The cane should be held on the side opposite the affected leg to provide better stability and support. Holding the cane on the affected side would not offer the necessary support for effective ambulation.
D. "Move your unaffected leg before your affected leg when walking." This is the correct technique as it ensures better balance and stability. Moving the unaffected leg first while using the cane allows for a more secure and coordinated gait, reducing the risk of falls.
Correct Answer is B
Explanation
A. Administer medication for high blood pressure: This is a dependent intervention as it requires a healthcare provider's order and is part of prescribed treatment.
B. Reposition the client every 2 hours: This is an independent nursing intervention, as it involves routine care that nurses can perform without needing a specific provider's order.
C. Starting IV antibiotics: This is a dependent intervention that requires a healthcare provider’s order and typically involves more specialized procedures.
D. Administering medication for pain: This is also a dependent intervention because it requires a healthcare provider's prescription and direction for administration.
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