Universal guidelines that define appropriate measures for all ...

[serike]

Universal guidelines that define appropriate measures for all nursing interventions that should be observed during the performance of those interventions are known as:
 
  a. scope of practice.
  b. advocacy.
  c. standard of care.
  d. prudent practice.

Question 2

A nurse is formulating a nursing diagnosis. An example of an appropriately written nursing diagnosis is:
 
  a. risk for impaired skin integrity related to physical immobilization.
  b. physical immobilization secondary to risk for impaired skin integrity.
  c. risk for impaired skin integrity related to diagnosis of decubitus ulcers.
  d. physical immobilization secondary to decreased cognitive ability.

[adf223]

Answer to Question 1

C
Standards of care define actions that are permitted or prohibited in most nursing interventions. These standards are accepted as legal guidelines for appropriateness of performance.

Answer to Question 2

A
Risk for impaired skin integrity related to physical immobilization is the only appropriately written nursing diagnosis. All other options are not listed as NANDA-I approved nursing diagnoses.

[serike]

Thanks for the timely response, appreciate it

[chereeb]

Gracias!