A client who was previously awake and alert suddenly becomes unconscious. The nursing plan of care includes an order to increase oral intake. Why would the nurse review the plan of care?
A) To implement evidence-based practice
B) To ensure the order follows hospital policy
C) To be sure interventions are individualized
D) To be sure the intervention is safe
Ans: D
Nurses reassess the client and review the plan of care before initiating any nursing intervention. This is done to make sure that the plan of care is still responsive to the client's needs, and is safe for the particular client. In this case, the nurse would not give oral fluids to an unconscious client.
You might also like to view...
An advantage of the protype patient classification system is:
a. reduction of work b. ongoing data to monitor accuracy of the nursing requirements c. ongoing measure of the actual nursing work required d. commonly used system
Employment of LPN/LVNs in the hospital setting is at a high level because their salaries are lower than RNs, which helps hospitals to provide cost-effective care. The specialty of the LPN/LVN is:
a. excellent bedside care. b. individualized patient care. c. specialized patient care. d. customized patient care.
A nurse is caring for a dying client who belongs to an organized religious group. Why is spirituality important for individuals faced with death?
A) Family and friends are unable to support an individual's organized religious beliefs. B) Spirituality helps individuals to find answers to their queries regarding the meaning of death. C) Religion can support spirituality and the existence of the soul. D) Organized religion can ensure what will occur before the afterlife.
C.'s mother asks when C. can return to day care. Which of these statements is your best
response? a. "She should be able to return in about a week." b. "She can return 24 hours after her last documented normal temperature." c. "She can return 24 hours after she starts her antibiotics and is free of fever." d. "She can return 48 hours after her last documented normal temperature."