Asked by Britney Crabtree on Jul 09, 2024
Verified
A nurse is reviewing a patient's care plan. Which information will the nurse identify as a nursing intervention?
A) The patient will ambulate in the hallway twice this shift using crutches correctly.
B) Impaired physical mobility related to inability to bear weight on right leg.
C) Provide assistance while the patient walks in the hallway twice this shift with crutches.
D) The patient is unable to bear weight on right lower extremity.
Nursing Intervention
Actions undertaken by a nurse to further the well-being of a patient, including direct care, education, and support.
Impaired Mobility
A restriction in autonomous, intentional bodily movement or in the movement of one or more limbs.
Ambulate
To walk or move from one place to another, typically referring to the ability or process of walking, especially within the context of a healthcare setting.
- Acquire knowledge on the actions required at the outset of nursing care execution.
- Adjust and update care plans for nursing based on the requirements of the patient.
Verified Answer
RJ
Robert JohnsonJul 12, 2024
Final Answer :
C
Explanation :
Providing assistance to a patient who is ambulating is a nursing intervention. The statement, "The patient will ambulate in the hallway twice this shift using crutches correctly" is a patient outcome. Impaired physical mobility is a nursing diagnosis. The statement that the patient is unable to bear weight and ambulate can be included with assessment data and is a defining characteristic for the diagnosis of Impaired physical mobility.
Learning Objectives
- Acquire knowledge on the actions required at the outset of nursing care execution.
- Adjust and update care plans for nursing based on the requirements of the patient.