Answer to Question 1
Ans: B
Feedback:
The administration of a p.r.n. medication requires a physician-prescribed intervention (the medication order) as well as a nurse-prescribed intervention (determining when the order should be carried out and proper administration of the medication); therefore, this action would be considered a collaborative intervention. Nurse-initiated interventions, such as turning and repositioning a client, are described as nurse-prescribed interventions. Physician-directed actions are described as physician-prescribed interventions. Client advocacy refers to communicating the needs and protecting the safety of the client. Interventions are not normally categorized as being independent or dependent.
Answer to Question 2
Ans: A
Feedback:
The nurse is responsible for making sure the needs of the client are met based on Maslow's hierarchy of needs. Attending a group activity helps meet the needs of love and belonging (the need to feel that one belongs and is loved to avoid loneliness and isolation). Self-actualization is the highest need and refers to realizing fully all of one's abilities and qualities. Safety and security refers to physical and psychological protection issues. Self-esteem indicates a feeling of self-worth.
The nurse needs to note the source of the patient health history
The surgical nurse assists the client into the correct position
Herniated disk. A herniated disk is a protrusion of the disk’s gelatinous center, called the nucleus
Caring for a patient on isolation precautions cont'd
After the chemical exfoliation substance has been applied, wrap the two top sheets around the client ...
Reflex Responses to Pain