Sherpath Questions - Nurs 230 Exam 2 Questions With Complete Solutions
which category of nursing interventions will the nurse document for an intervention prescribed by the health care provider to treat the medical diagnosis of the patient?
a. primary
b. interdependent
c. dependent
d. independent Correct Answer-c. dependent
rationale = dependent nursing interventions require the health care providers prescriptions to treat a medical diagnosis
which criterion is used to evaluate efficacy of interventions?
a. consultation
b. critical thinking
c. communication
d. expected outcome Correct Answer-d. expected outcome
which action is an example of a collaborative intervention?
a. provide frequent mouth care
b. maintain intravenous (IV) infusion at 100 ml/hr
c. administer prochlorperazine via rectal suppository d. consult with dietitian on initial foods to offer patient Correct Answer-
d. consult with dietitian on initial foods to offer patient
which word does T represent in the SMART acronym as it relates to setting goals for the patient? Correct Answer-timed
which actions describes an independent nursing intervention? (select all that apply)
inserting a urinary catheter
offering counseling for coping
initiating early mobility protocols
instructing patients on side effects of medications
positioning patients to prevent pressure injury formation Correct Answer-offering counseling for coping
initiating early mobility protocols
instructing patients on side effects of medications
positioning patients to prevent pressure injury formation
which expected outcome for the goal "patient will achieve a gain of 10 pounds (4.5 kg) in body weight in a month" is written correctly?
a. patient will eat at least three-fourths of each meal by the end of 1 week b. patient will verbalize relief of nausea and have no episodes of vomiting in 1 week c. provide patient high-calorie meals 3 times a day Correct Answer-a. patient will eat at least three-fourths of each meal by the end of 1 week
which patient care goal is a long-term goal for a newly diagnosed medically unstable patient with diabetes?
a. patient will explain the relationship of insulin to blood glucose control
b. patient will achieve glucose control as demonstrated by a decrease in hemoglobin A1C level
c. patient will list the steps for preparing insulin in a syringe Correct Answer-b. patient will achieve glucose control as demonstrated by a decrease in hemoglobin A1C level
how many classes are included in the second level of the Nursing Interventions Classification (NIC) model? Correct Answer-30
which statement by the nurse is the characteristic of an effective hand-
off report?
a. "this patient is anxious about pain after surgery; you will need to review the information about how to use a patient-controlled analgesia (PCA) pump this evening"
b. "the patient had an argument with a former boyfriend. It was like a zoo with all the yelling and name calling"
c. "I'll just give you report here outside the room since the patient is sleeping" Correct Answer-a. "this patient is anxious about pain after surgery; you will need to review the information about how to use a patient-controlled analgesia (PCA) pump this evening"
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