WorksheetsNursing Practice
Total questions: 6
Worksheet time: 3mins
What is the first step the nurse should take in response to Linda’s symptoms?
Administer oxygen at a higher flow rate
Call the physician immediately
Perform a thorough assessment, including vital signs and lung sounds
Increase IV fluid administration
Based on Linda’s symptoms, what nursing diagnosis is most appropriate?
Risk for falls related to lethargy
Impaired gas exchange related to decreased oxygen levels
Acute pain related to surgical incision
Knowledge deficit related to postoperative care
What is the most important intervention to include in the care plan for Linda?
Encourage the patient to remain in bed to avoid pain
Encourage early ambulation and assess for deep vein thrombosis (DVT)
Administer additional pain medication to promote sleep
Reduce oxygen therapy to prevent dependency
Which outcome indicates that the interventions have been effective?
Linda reports increased drowsiness and less pain
Linda’s oxygen saturation remains at 88% despite interventions
Linda’s oxygen saturation improves to 96% and her temperature returns to normal
Linda requires continuous oxygen therapy at a high flow rate
The nurse notes that Linda has been hesitant to participate in deep breathing exercises. What is the best approach to encourage participation?
Explain the benefits of deep breathing and use an incentive spirometer
Ignore her reluctance and continue care as planned
Increase pain medication to make breathing exercises easier
Tell her that if she does not comply, her condition will worsen
After implementing interventions, what is the final step of the nursing process?
Planning the next steps
Administering additional interventions
Reassessing only if the doctor requests it
Evaluating the effectiveness of interventions and adjusting care as needed
