A nurse is devising a care plan for a client with complex health issues and current acute health problems. Nursing interventions must meet which of the following criteria? (Select all that apply.)
1. Congruent with the client's values, beliefs, and culture
2. Within established standards of care
3. Based on scientific and medical knowledge
4. Achievable with the resources available
Correct Answer: 1,2,4
Rationale: The plan must be based on nursing knowledge and experience or knowledge from relevant sciences (based on rationale). Other criteria for interventions are that they must be safe and appropriate for the client's age, health, and condition, and they must be collaborative with other therapies.
You might also like to view...
When a home health nurse consults the patient's physician and pharmacy about a patient's medications, which role is being demonstrated?
1. Teacher 2. Researcher 3. Collaborator 4. Care provider
The nurse is caring for a patient in intensive care unit receiving IV lorazepam (Ativan) to reduce anxiety related to mechanical ventilation. While injecting the medication the nurse notes a decrease in blood pressure and bradycardia
What is the nurse's priority action? A) Discontinue drug administration. B) Give the IV drug more slowly. C) Notify the patient's health care provider. D) Document the reaction to the drug.
The person who has Huntington's disease asks if his disease will affect children he might have. Which statement by the nurse is most accurate?
a. "No. Huntington's disease has no genetic link." b. "Yes. Your children will either have Hun-tington's disease or be carriers." c. "No. Huntington's disease is caused by an autoimmune response." d. "Yes. Because of the nature of Hunting-ton's disease, 50% of your children will have the disease."
In the discharge teaching plan for a client after MI, the nurse would include that the client should
a. begin walking for short periods every day. b. continue previous lifestyle when ready. c. resume sexual intercourse in 3 months. d. take 1 aspirin every 8 hours as ordered.