To provide optimum care, a nursing intervention should be based ...

[SAVANNAHHOOPER23]

To provide optimum care, a nursing intervention should be based on:
 
  1. An appropriate nursing diagnosis
  2. Subjective and objective client data
  3. Sound clinical judgment and knowledge
  4. Identified physical and psychosocial needs of the client

Question 2

The plan of care offers a number of different types of nursing interventions that may be incorpo-rated in. An example of a nurse implemented specific life-saving measure is:
 
  1. Administering analgesics
  2. Restraining a violent client
  3. Initiating stress-reduction therapy
  4. Teaching the client how to take his/her pulse rate

[briezy]

Answer to Question 1

ANS: 3
The assessment data direct the nurse in the formulation of a client-specific care plan grounded within clear, relevant nursing diagnoses and directed towards appropriate, attainable client out-comes. A nursing intervention is any treatment, based upon clinical judgment and knowledge that a nurse performs to enhance client outcomes. Ideally, the interventions a nurse uses are evi-dence-based, providing the most current, up-to-date, and effective approaches for client prob-lems. Interventions include both direct and indirect care measures, aimed at individuals, families, and/or the community.

Answer to Question 2

ANS: 2
Restraining a violent client is an example of a life-saving measure to protect the client. The pur-pose of a life-saving measure is to restore physiological or psychological equilibrium. Adminis-tering analgesics is an example of physical care techniques. It is not a life-saving measure. Initiat-ing stress-reduction therapy is an example of a counseling technique. Teaching the client how to take his or her pulse rate is an example of the nursing intervention of teaching. The focus is for the client to obtain new knowledge or psychomotor skills.

[SAVANNAHHOOPER23]

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[briezy]

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