Which of these outcomes would be most appropriate for a patient ...

[Redwolflake15]

Which of these outcomes would be most appropriate for a patient with a nursing diagnosis of Constipation related to slowed gastrointestinal motility secondary to pain medications?
 
  a. Patient will have one soft, formed bowel movement by end of shift.
  b. Patient will not take any pain medications this shift.
  c. Patient will walk unassisted to bathroom by the end of shift.
  d. Patient will not take laxatives or stool softeners this shift.

Question 2

The nurse recognizes that another term for a collaborative nursing intervention is _____ intervention.
 
  a. Dependent
  b. Independent
  c. Interdependent
  d. Physician-initiated

[mmj22343]

Answer to Question 1

ANS: A
The identified problem, or nursing diagnosis, is Constipation. Therefore, the outcome should be that the constipation is relieved. To measure constipation relief, the nurse will be observing for the patient to have a bowel movement. Not taking pain medications may or may not relieve the constipation. Although not taking pain medicines might be an intervention, the nurse doesn't want the patient to be in pain to relieve constipation. Other measures, such as administering laxatives or stool softeners, might be appropriate interventions. The patient walking unassisted to the bathroom addresses mobility, not constipation. The patient may need to walk to the bathroom to have a bowel movement, but the appropriate outcome for constipation is that the constipation is relieved as evidenced by a bowel movementsomething that the nurse can observe.

Answer to Question 2

ANS: C
A collaborative, or interdependent, intervention requires the combined knowledge, skill, and expertise of multiple health care professionals. A dependent intervention requires an order from a health care professional. An independent intervention is an action that the nurse initiates.

[Redwolflake15]

Thanks for the timely response, appreciate it

[softEldritch]

Gracias!