Answer to Question 1
Ans: B
A physician-initiated intervention is an intervention initiated by a physician in response to a medical diagnosis but carried out by a nurse in response to a physician's order. A physician's order is required for the nurse to administer drugs, such as oxygen. A nurse-initiated intervention is an autonomous action based on scientific rationale that a nurse executes to benefit the client in a predictable way related to the nursing diagnosis and expected outcomes. Nursing-initiated interventions, such as teaching client how to transfer, assisting with coughing and deep breathing, and monitoring intake and output do not require a physician's order.
Answer to Question 2
Ans: C
Outcomes are client-centered, use action verbs, identify measureable criteria, and include a time frame as to when the outcome should be achieved. A correctly written outcome will identify who (the client) will do what (ambulate), how well (10 feet), under what circumstances (with a walker), and by when (October 12). Understand is vague and not action-oriented. The outcomes regarding eliminating a stool and self-administering insulin are missing the time frame.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
The nurse cares for the postop client in the postanesthesia care unit (PACU).
Effects of nursing rounds on patient safety
Nurse's hand over patients abdomen
Nursing history for female genetalia and reproductive tract assessment
The physician uses percussion—tapping—to detect sound or vibration.