An example of selecting an intervention includes what?

• A. Documenting strict I&O for a client needing increased fluid intake
• B. Administering a medication without a physician order
• C. Ignoring patient input
• D. Delaying care

Answer: (A)

When selecting an intervention, you choose a concrete action the nurse can carry out to advance the patient toward the care plan goals, and you establish a way to monitor its impact. Documenting strict intake and output for a client who needs increased fluid intake fits this well. It translates the goal of improving hydration into a tangible, ongoing activity: you encourage fluids, track exactly what the patient takes in and what leaves the body, and use that data to determine whether the plan is working or needs adjustment. This kind of monitoring provides the necessary feedback to guide further care and ensures accountability and safety.

The other options aren’t appropriate interventions in this context: administering a medication without a physician order bypasses legal and safety protocols; ignoring patient input undermines patient-centered care and can jeopardize outcomes; delaying care harms the patient and delays necessary treatment.