Which of the following principles does the nurse use in selecting interventions for the care plan?

There is one best intervention for each goal/outcome.

Actions should address the etiology of the nursing diagnosis.

Interventions should be "doing" not just monitoring.

Always select independent interventions when possible.

Answer and Explanation

The Correct Answer is B

When selecting interventions for a care plan, the nurse should consider several principles. One important principle is that actions should address the underlying cause (etiology) of the nursing diagnosis. By addressing the root cause of the problem, interventions can be more eﬀective in achieving the desired outcomes. There is not necessarily one "best" intervention for each goal or outcome, as diﬀerent clients may have diﬀerent needs and respond diﬀerently to interventions. Interventions can include both "doing" actions and monitoring, and both independent and collaborative interventions may be appropriate depending on the situation.

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Correct Answer is ["C","D"]

Explanation

If a visitor in the dining room at the hospital has a forceful cough, the nurse should first allow the visitor to continue coughing. Coughing is a natural reﬂex that helps clear the airway of foreign objects or mucus. The nurse should also assess the eﬀectiveness of the cough. If the cough is weak or ineﬀective, further intervention may be necessary.

Starting cardiopulmonary resuscitation (CPR) or performing the Heimlich maneuver would only be appropriate if the visitor is choking and unable to breathe. Assisting the client to a sitting position on the ﬂoor may not be necessary and could potentially cause harm.

A. Stage 3 B. Stage 4 C. Stage 2 D. Stage 1

Correct Answer is C

Explanation

A client who has accepted the fact that they need bypass surgery for a blocked artery and has been admitted to the hospital is experiencing Stage 2 of illness. Stage 2 is known as the prodromal period, during which the symptoms of illness begin to appear ². The other options (Stage 1, Stage 3, and Stage 4) are not correct.

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Which of the following principles does the nurse use in selecting interventions for the care plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While in the dining room at the hospital, the nurse notes a visitor has forceful coughs. Which actions would the nurse take to assist this visitor? Select all that apply:

Correct Answer is ["C","D"]

Explanation

A client has accepted the fact that they need bypass surgery for a blocked artery and has been admitted to the hospital. Which one of the following stages of illness is this client experiencing?

Correct Answer is C

Explanation

A nurse is educating women on the need for calcium to prevent bone loss. What level of prevention does this represent?

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A client is prescribed a diuretic for swelling of the lower extremities. The nurse should teach the client about the eﬀect of the medication on the client's urinary output.

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