Author Question: The nurse gathers a dressing tray, gloves, and solution to change the client's dressing. Which stage ... (Read 104 times)

Chelseaamend · **on:** Jul 22, 2018

The nurse gathers a dressing tray, gloves, and solution to change the client's dressing. Which stage of the implementation process does this represent?

a. Identifying areas of assistance
b. Providing direct nursing care
c. Preparing a client for procedures
d. Organizing resources and care delivery

Question 2

The client is given an injection of an antibiotic. Shortly afterward, she says that she has hives and is itchy. The nurse administers an antihistamine to counteract the effect of the antibiotic.

Which one of the following intervention methods is the nurse using? a. Physical care techniques
b. Assisting with activities of daily living (ADLs)
c. Preparing for special procedures
d. Controlling for adverse reactions

pami445 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Before delivering an intervention, the nurse prepares the necessary supplies and decides on the time and provider of care.
The nurse is not seeking assistance at this time.
The nurse is not providing direct nursing care at this time.
The nurse is not preparing a client for a procedure at this time.

Answer to Question 2

D
Nursing actions that control for adverse reactions reduce or counteract the reaction, such as ad-ministering an antihistamine after an allergic reaction to a medication.
Examples of physical care techniques include turning and positioning, administering medications, and providing comfort measures. These techniques involve the safe and competent administration of nursing skills or procedures.
Assisting with activities of daily living (ADLs) is a direct care measure with which the nurse provides the client with assistance in activities that are usually performed in the course of a nor-mal day, such as eating, bathing, dressing, grooming, and ambulating.
Preparing for special procedures is a direct care measure involving physical care techniques and possible teaching.