To select appropriate interventions, the nurse must.

• A. Have physician approval for every action.
• B. Only consider interventions that require no input from the client.
• C. Ensure the intervention aligns with the plan and outcomes.
• D. Include the client's input, the rationale, feasibility, and the necessary skills.

Answer: (D)

Choosing interventions this way keeps care patient-centered and actionable. The nurse should involve the client, provide the rationale for each action, assess feasibility (resources, setting, safety), and identify the skills needed to carry it out, all while ensuring the action aligns with the established plan and expected outcomes. This approach supports informed participation, realistic execution, and clear measurement of progress toward goals.

Relying on physician approval for every action can slow care and reduce patient autonomy. Excluding client input ignores preferences and would likely hinder adherence. Merely matching the plan and outcomes is important, but without involving the client and confirming feasibility and necessary skills, interventions may not be implementable or acceptable.