Nursing interventions may be categorized based upon the degree of nursing autonomy. An ex-ample of a nurse-initiated intervention is:
1. Providing client teaching
2. Administering medication
3. Ordering a liver CAT scan
4. Referring a client to physical therapy
ANS: 1
Health teaching is an example of a nurse-initiated intervention. Administering medication is a physician-initiated intervention. Ordering a CAT scan is a physician-initiated intervention. Refer-ring a client to physical therapy is a collaborative intervention.
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As a manager, it is important for you to develop skills in:
1. social communication with your staff. 2. understanding nonverbal messages from those you manage. 3. understanding nonverbal messages from both those you manage and your leaders. 4. therapeutic communication with patients.
A school-age client is experiencing photophobia, a sore neck, chills, and fever. During a physical assessment, the nurse uses the technique in the Exhibit. Why did the nurse use this technique when assessing the client?
A) It is a routine part of the physical assessment. B) The client's symptoms indicated meningitis C) The nurse was assessing range of motion of the neck. D) The nurse was assessing optic nerve functioning.
The nurse encourages the labor client to void at least every 2 hours, primarily because a distended bladder may:
a. cause severe pain b. impede fetal descent c. result in bladder trauma during the birth process d. result in kidney infection from stasis of urine
A client has been receiving phenytoin (Dilantin) for 15 years. The nurse implements which diagnostic test to assess for a common adverse reaction to long-term medication use?
a. Fasting blood glucose level b. Chest x-ray c. Voiding cystourethrogram d. BUN and creatinine