A Nursing Intervention Directs the Patient to Be Turned Every

question 15

Multiple Choice

A nursing intervention directs the patient to be turned every 2 hours to prevent skin breakdown from immobility. Assessment findings on new reddened areas on the lateral aspects of the right knee and ankle are obtained. What is the most appropriate way for these findings to be used when the care plan is evaluated?

• A) The information will be added to the relevant area of the electronic medical record.
• B) The nursing diagnosis will be changed from an actual problem to a potential problem.
• C) The new intervention of calling the physician will be added to the care plan.
• D) The intervention will change to have the patient turned every hour.

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Definitions:

Assessment Interview

A structured discussion aimed at gathering comprehensive information about a person or situation to inform decisions or diagnosis.

Coping Strategies

Methods or techniques used to manage stress and emotional challenges.

Stressful Situations

Circumstances or events that create psychological or emotional stress, challenging an individual's ability to cope.

Faith Help

Support or assistance derived from religious beliefs or spiritual faith.