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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The best way to increase the client's motivation to learn is by encouraging their participation each time the procedure is performed. This can help the client feel more involved in their own care and increase their confidence in performing the procedure. The other options (Offering to do the procedure for the client each time it is scheduled, Teaching the client's support system how to perform the procedure, and Demonstrating the finger stick procedure to the nurse) may not be as effective in increasing the client's motivation to learn.
Correct Answer is D
Explanation
The client would most likely exhibit tachycardia, which is an abnormally fast heart rate. Fever and infection can both cause an increase in heart rate as the body tries to fight off the infection. Severe pain can also cause an increase in heart rate due to the body's stress response. Therefore, it is likely that the client would have a fast pulse rate, or tachycardia.
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