Author Question: The nursing student asks the nurse about nurse-initiated and physician-initiated interventions. ... (Read 81 times)

yoooooman · **on:** Jul 23, 2018

The nursing student asks the nurse about nurse-initiated and physician-initiated interventions. Which of the following is a physician-initiated intervention?

A) Teach client how to transfer from bed to chair and chair to bed.
B) Administer oxygen 4 L/min per nasal cannula.
C) Assist the client with coughing and deep breathing every hour.
D) Monitor intake and output every 2 hours.

Question 2

Which of the following is a correctly written client goal?

A) The client will eliminate a soft formed stool.
B) The client understands what foods are low in sodium.
C) The client will ambulate 10 feet with a walker by October 12.
D) The client correctly self-administers the morning dose of insulin.

meltdown117 · **Reply #1 on:** Jul 23, 2018

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.