Which of the following is an example of indirect care?

Insertion of a urinary catheter

Reviewing discharge instructions with the client

Performing routine oral care

Documentation of IV insertion

Answer and Explanation

The Correct Answer is D

Choice A rationale
Insertion of a urinary catheter is a direct care intervention. It involves direct personal contact with the patient.
Choice B rationale
Reviewing discharge instructions with the client is also a direct care intervention. It involves direct personal contact with the patient.
Choice C rationale
Performing routine oral care is a direct care intervention. It involves direct personal contact with the patient.
Choice D rationale
Documentation of IV insertion is an example of an indirect care intervention. Indirect care interventions are performed when the nurse provides assistance in a setting other than with the patient. Examples of indirect care interventions are attending care conferences, documenting, and communicating about patient care with other providers.

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Correct Answer is D

Explanation

Choice A rationale
Enlargement of the liver is not a common complication following a myocardial infarction that has caused damage to the right side of the heart.
Choice B rationale
Pulmonary congestion is more commonly associated with left-sided heart failure.
Choice C rationale
Cardiac Tamponade is a serious medical condition in which blood or fluids fill the space between the sac that encases the heart and the heart muscle. This can occur as a result of a myocardial infarction, but it is not the most likely complication in this scenario.
Choice D rationale
Peripheral edema is a common complication following a myocardial infarction that has caused damage to the right side of the heart. When the right side of the heart is damaged, it can lead to a backup of blood in the body’s veins, which can cause swelling in the ankles, legs, and abdomen.

A. Auscultate the lung fields to identify any abnormal sounds. B. Administer oxygen via a nasal cannula at 8 liters per minute. C. Elevate the head of the patient’s bed to an upright position. D. Assist the patient to get up to the chair.

Correct Answer is B

Explanation

Choice A rationale
While auscultating the lung fields can provide valuable information about the patient’s respiratory status, it is not the most immediate action needed for a COPD patient with an oxygen saturation of 89%4.
Choice B rationale
Administering oxygen is the most appropriate action for a COPD patient with an oxygen saturation of 89%. This will help increase the patient’s oxygen saturation and alleviate their shortness of breath.
Choice C rationale
Elevating the head of the bed can help improve lung expansion and ease breathing, but it is not as immediately effective as administering oxygen.
Choice D rationale
Assisting the patient to get up to the chair is not the most immediate action needed for a COPD patient with an oxygen saturation of 89%4.

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Which of the following is an example of indirect care?

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Naxlex Comprehensive Predictor Exams

A 67-year-old patient is admitted to the ICU following a myocardial infarction that has caused damage to the right side of the heart. What complication is the patient most likely to experience?

Correct Answer is D

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