Which nursing action can be categorized as a surveillance or monitoring intervention?
A) Auscultating of bilateral lung sounds
B) Providing hygiene
C) Administering paracetamol tablet
D) Use of therapeutic communication skills

Question

Quizplus · Accepted Answer

Surveillance or monitoring nursing interventions includes detecting changes from baseline data and recognizing abnormal responses. Nurses rely on the senses to detect changes: observing the appearance and characteristics of clients; hearing by auscultation, pitch, and tone; detecting odors and comparing them with past experience and knowledge of specific problems; and using touch to assess body temperature, skin condition, clamminess, or diaphoresis. Nurses use all of these surveillance or monitoring activities to determine the current status of clients and changes from previous states. Nurses often detect subtle changes in a client's condition and communicate them to the physician to minimize problems.

Which Nursing Action Can Be Categorized as a Surveillance or Monitoring