A nurse is formulating the nursing diagnosis of a client who is recovering from a heart attack. Which is an example of an independent nursing action that the nurse must consider when formulating the nursing diagnosis for the client?
A) Take off oxygen mask when client's condition improves.
B) Determine the strength of medication in intravenous solution.
C) Administer medications if condition worsens.
D) Monitor client's condition frequently during care.
D
Feedback:
Monitoring the client's condition frequently is an example of an independent nursing action. Taking off the client's oxygen mask, determining the strength of medication in the intravenous solution, and administering medicines are all examples of collaborative problems because the nurse cannot perform these interventions without consulting the physician first.
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