Author Question: The main purpose of the Nursing Interventions Classification (NIC) system is to a. evaluate ... (Read 33 times)

imanialler · **on:** Jul 22, 2018

The main purpose of the Nursing Interventions Classification (NIC) system is to

a. evaluate nursing interventions
b. develop nursing interventions
c. sort, label, and describe nursing interventions
d. remove those interventions from the national list that are not appropriate

Question 2

A 7-year-old with a head injury is hospitalized after losing consciousness from being hit in the head with a bat at baseball practice. The child was not wearing a helmet.

The last set of vital signs showed heart rate 48, blood pressure 148/74, and respiratory rate 28 and irregular. The nurse suspects that these vital signs are which of the following? 1. Probably normal for this child
2. A sign of increased intracranial pressure
3. A sign that this child has a spinal cord injury
4. Typical for a sleeping child at this age

Zack0mack0101@yahoo.com · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
The Nursing Interventions Classification (NIC) system is a standardized language that describes nursing interventions performed in all practice settings. NIC is a method for linking nursing interventions to diagnoses and patient outcomes. The format for each intervention includes label name, definition, list of activities that a nurse performs to carry out the intervention, and a list of background readings. NIC offers standardized language for research on nursing interventions and is a tool for determining the reimbursement for nursing services.

Answer to Question 2

2. A sign of increased intracranial pressure

Rationale:
These vital signs show increased blood pressure with a wide pulse pressure, slow heart rate, and respirations that are irregular, all indicating possible significant increased intracranial pressure. Normal heart rate for an awake child at this age is 70110. Normal blood pressure is 92126/5586. Normal respirations are 20 and regular. These vital signs are a sign of increased intracranial pressure. If it were a spinal cord injury, and neurogenic shock were suspected, the child would be hypotensive. Normal sleeping pulse at this age is 6090.