When caring for a client with a concussion, a nurse follows the nursing care plan; however, the client is not progressing according to the plan. Which is the most appropriate therapeutic nursing intervention in this situation?
A) Reassess, reevaluate, and revise the nursing care plan.
B) Use the trial and error method with another plan.
C) Care for the client symptomatically without a care plan.
D) Experiment and observe the results.
A
Feedback:
The nurse should reassess, reevaluate, and revise the nursing care plan if the client is not progressing. Effective use of the nursing process includes the ability to foresee problems and avert complications by reassessing, reevaluating, and revising the nursing care plan, as appropriate. Trial and error and experimentation can have possible harmful effects. The nurse should refer to the nursing care plan when providing care, rather than caring for the client symptomatically without a care plan.
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