Nursing interventions should be documented according to specific crite

Nursing interventions should be documented according to specific criteria in order that they may be clearly understood by other members of the nursing team. The most appropriate of the fol-lowing intervention statements is:

1. Offer fluids to the client q2h
2. Observe the client’s respirations
3. Change the client’s dressing daily
4. Irrigate the nasogastric tube q2h with 30 ml normal saline

ANSWER

ANS: 4
Irrigate the nasogastric tube q2h with 30 ml normal saline is the most appropriate intervention statement. It includes the action, frequency, quantity, and method. Offer fluids to the client q2h lacks the component of quantity. Observe the client’s respirations fails to indicate the frequency or method. Also, what is the reason for observation of the client’s respirations? Change the cli-ent’s dressing daily omits the method.