Fundamentals of Nursing Q 69
When developing a nursing care plan for a client with a fractured right tibia, the nurse includes in the plan of care independent nursing interventions, including:
A. Apply a cold pack to the tibia.
B. Elevate the leg 5 inches above the heart.
C. Perform a range of motion to right leg every 4 hours.
D. Administer aspirin 325 mg every 4 hours as needed.
Correct Answer: B. Elevate the leg 5 inches above the heart.
This does not require a physician’s order. Independent nursing interventions are activities that nurses are licensed to initiate based on their sound judgment and skills. Includes ongoing assessment, emotional support, providing comfort, teaching, physical care, and making referrals to other health care professionals.
Option A: This intervention requires a doctor’s order. Assessment and providing explanation while administering medical orders are also part of the dependent nursing interventions.
Option C: C is not appropriate for a fractured tibia. Isometrics contract muscles without bending joints or moving limbs and help maintain muscle strength and mass. Note: These exercises are contraindicated while acute bleeding and edema are present.
Option D: Dependent nursing interventions are activities carried out under the physician’s orders or supervision. Includes orders to direct the nurse to provide medications, intravenous therapy, diagnostic tests, treatments, diet, and activity or rest.