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Exercise Physiology: Theory and Application to Fitness and Performance11th EditionEdward Howley, John Quindry, Scott Powers 593 solutions For which patient would a short-term goal be most appropriate? A patient who has undergone cancer therapy A patient who requires postamputation rehabilitation A patient who is diagnosed with a chronic condition A patient who experiences acute pain related to incisional trauma A patient who experiences acute pain related to incisional trauma The patient who experiences acute pain would be appropriate for a short-term goal. A short-term goal is an objective behavior or response that the nurse expects a patient to achieve in a short time, usually less than a week. A patient who has acute pain related to incisional trauma requires short-term goals for pain relief. Which priority level would be assigned to the patient diagnosed with decreased gas exchange? High Low Medium Intermediate High Decreased gas exchange is a high priority because it deals with oxygenation. The patient has decreased gas exchange and is assigned a high-priority level. This is because if left untreated, decreased gas exchange may become life threatening. Which priority action would the nurse take before administering a new drug? Confer with a colleague before giving the medication. Consult with a pharmacist to obtain knowledge about the medication. Ask the patient about the medication. Administer the medication as prescribed and on time. Consult with a pharmacist to obtain knowledge about the medication. The nurse's priority action is to check with the pharmacist about the medication. When the nurse performs a new or unfamiliar procedure, such as giving a new medication, it is important to assess personal competency and determine if new knowledge or assistance is needed. Conferring with a colleague is appropriate but is not the priority. Which patient care goal is a long-term goal for a newly diagnosed medically unstable patient with diabetes? Patient will explain the relationship of insulin to blood glucose control. Patient will describe three actions to take for low blood sugar. Patient will achieve glucose control. Patient will list the steps for preparing insulin in a syringe
Patient will achieve glucose control. Patient will achieve glucose control is a long-term goal. It will take time for the patient who is medically unstable to achieve glucose control. Explaining the relationship of insulin to blood glucose control, describing three actions to take for low blood sugar, and listing the steps for preparing insulin in a syringe are short-term outcomes, not long-term goals. Which action indicates that the nurse is using physical care techniques? Meeting the patient's expressed needs Performing indirect care measure Using safe patient-handling procedures Providing a hand-off report Using safe patient-handling procedures A physical care technique is using safe patient-handling procedures. A common method for administering physical care techniques appropriately includes protecting the nurse and patients from injury. Which outcome is correctly written and would the nurse add to the plan of care about the patient's apical pulse? The patient will have a normal apical pulse. The patient's apical pulse values will be stable. The patient will have acceptable apical pulse values. The patient's apical pulse will be at least 70 beats per minute The patient's apical pulse will be at least 70 beats per minute The correctly written outcome is the patient's apical pulse will be at least 70 beats per minute. The nurse should use terms describing quality, quantity, frequency, length, or weight in the expected outcome statement; this helps evaluate outcomes accurately. Vague terms result in guesswork in evaluating the patient's response to care. Words such as normal, stable, and acceptable are vague terms. Which word does the letter "T" represent in the SMART acronym as it relates to setting goals for the patient? Timed Treatment Therapeutic Thermoregulation Timed Which criterion is used to evaluate efficacy of interventions? Consultation Critical thinking Communication Expected outcome Expected outcome Expected outcomes include physiological, developmental, psychological, social, or spiritual responses that are desirable to the patient. These responses indicate a resolution of the patient's health problems. Which intervention performed by the nurse is an independent nursing intervention? Select all that apply. One, some, or all responses may be correct. Teaching the patient about deep-breathing exercises Starting an intravenous (IV) infusion Administering analgesic medications Assisting the patient in taking a bed bath Repositioning a patient for relief from pain Teaching the patient about deep-breathing exercises Assisting the patient in taking a bed bath Repositioning a patient for relief from pain Teaching the patient about deep-breathing exercises, assisting the patient with a bed bath, and repositioning the patient can be performed independently by the nurse. Independent nursing interventions are activities that do not need an order from another health care provider. Starting an IV infusion and administering analgesic medications require an order from a health care provider, making these dependent nursing interventions. Which expected outcome is written in measurable terms? Patient will be pain free. Patient will have less pain. Patient will take pain medication every 4 hours. Patient will report pain acuity less than 4 on a scale of 0 to 10. Patient will report pain acuity less than 4 on a scale of 0 to 10. Measure is pain scale Which intervention performed by the nurse is an interdependent intervention? Select all that apply. One, some, or all responses may be correct. Preparing the patient for diagnostic tests Administering medications to the patient Consulting with a physiotherapist for postoperative exercises Collaborating with the home health department to ensure the patient will have home health visits Conferring with the unit discharge coordinator to help the patient return home Consulting with a physiotherapist for postoperative exercises Collaborating with the home health department to ensure the patient will have home health visits Conferring with the unit discharge coordinator to help the patient return home The interdependent interventions include consulting with a physiotherapist, collaborating with the home health department, and conferring with the unit discharge coordinator. Interdependent interventions require the combined knowledge, skills, and expertise of multiple health care professionals. Preparing the patient for diagnostic tests and administering medications are health care provider-initiated interventions, not interdependent interventions. Which patient outcome about a wound would allow the nurse to measure a patient's response to care more precisely? Will appear normal within 3 days. Will have less drainage within 72 hours. Will reduce in size to less than 4 cm (1.5 inches) by day 4. Will heal without redness or drainage by day 4. Will reduce in size to less than 4 cm (1.5 inches) by day 4. Which type of problem is a high priority? One related to nonurgent needs of the patients One related to life-threatening needs of the patients One focused on the patient's long-term health care needs One focused only on the physiological diagnosis One related to life-threatening needs of the patients High priority is related to life-threatening needs of the patients. If life-threatening needs are untreated, the patients may die. Which patient problem would be a high priority? Risk of skin breakdown Need for rehabilitation Mild anxiety Chest pain Chest pain Mild anxiety and need for rehabilitation are intermediate priorities. Need for rehabilitation is low priority Which intervention performed by the nurse would require an order from a health care provider? Select all that apply. One, some, or all responses may be correct. Getting an x-ray of the chest to rule out pulmonary complications Administering an antibiotic to prevent infection Starting an intravenous (IV) infusion of normal saline Instructing the patient to splint the incision when coughing Teaching the patient about the side effects of the medication Getting an x-ray of the chest to rule out pulmonary complications Administering an antibiotic to prevent infection Starting an intravenous (IV) infusion of normal saline These include getting an x-ray, administering an antibiotic, and starting an IV infusion. Health care provider-initiated interventions are dependent nursing interventions or actions that require an order from a physician or other health care providers. Instructing the patient to splint the incision when coughing and teaching the patient about the side effects of the medication do not require an order from a health care provider. Setting a time frame for outcomes of care determines which purpose? The priority level Time it takes to complete an intervention How long the nurse is scheduled to care for a patient When the patient is expected to respond in the desired manner When the patient is expected to respond in the desired manner Time frames indicate when the patient is expected to respond in the desired manner. The time frame indicates when the nurse expects a response to nursing interventions. Time frames for outcomes are not used to gauge the time it takes to complete interventions. The health care provider prescribes interventions to the nurse to treat the medical diagnosis of the patient. To which category does such an intervention belong? Primary Interdependent Dependent Independent Dependent Dependent nursing interventions require the health care provider's prescriptions to treat a medical diagnosis. Which action would be classified as a health care provider-initiated intervention? Select all that apply. One, some, or all responses may be correct. Giving medication Starting an intravenous (IV) solution Explaining the benefits of exercise Providing a back rub Preparing a patient for an x-ray Giving medication Starting an intravenous (IV) solution Preparing a patient for an x-ray Which action performed for the patient is a nurse-initiated intervention? Select all that apply. One, some, or all responses may be correct. Elevating an edematous leg Offering counseling for coping Preparing the patient for diagnostic tests Initiating early mobility protocols Administering insulin Elevating an edematous leg Offering counseling for coping Initiating early mobility protocols Nurse-initiated interventions include elevating an edematous leg, offering counseling for coping, and initiating early mobility protocols. These do not require a prescription from a health care provider. Preparing a patient for diagnostic tests and administering insulin are examples of interventions initiated by the health care provider Which intervention performed by the nurse is an interdependent?An example of an interdependent intervention could include a patient recovering from knee surgery who is prescribed pain medication by a physician, administered medication by a nurse and given physical therapy exercises by a specialist.
Which nursing intervention is considered an independent intervention?Any intervention that the nurse can independently provide without obtaining a prescription is considered an independent nursing intervention . An example of an independent nursing intervention is when the nurses monitor the patient's 24-hour intake/output record for trends because of a risk for imbalanced fluid volume.
Which nursing intervention is considered an independent intervention quizlet?Which nursing intervention is considered an independent intervention? Encouraging the postoperative client to perform coughing and deep breathing exercises is an independent nursing intervention.
Which actions are examples of independent nursing actions quizlet?Independent nursing actions are those that a nurse is legally able to order or begin independently (e.g., turn every two hours, monitor for complications). Dependent interventions are physician-initiated. Medication administration is collaborative care as the health care provider must order the medication.
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Which intervention performed by the nurse is an independent nursing intervention Quizlet
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