Documentation System
Documentation System ( 5 Questions)
A nurse is using the PIE format to write a progress note for a client who has constipation.
Which of the following statements should the nurse include as the intervention?
It is not an intervention, but a health promotion activity.
Encouraging the client to increase fluid and fiber intake is a good practice, but it is not directly related to the problem of constipation.
It is not an intervention, but an assessment.
Assessing the client’s bowel sounds and abdominal distension is part of the data collection process, but it does not solve the problem of constipation.
The PIE format is a method of documentation that states the problem or diagnosis (P), the intervention or action the nurse takes (I), and the evaluation of the results (E). It eliminates the need for a traditional care plan by incorporating it into the progress notes.
The intervention is the action that the nurse takes to address the problem.
In this case, the problem is constipation, and the intervention is administering a bisacodyl suppository as prescribed by the physician.
This is a specific and measurable action that can be evaluated later.
It is not an intervention, but an evaluation.
Evaluating the client’s response to the suppository is the last step of the PIE format, where the nurse determines if the intervention was effective or not.
It does not describe what the nurse did to address the problem of constipation.
“Administered bisacodyl suppository as prescribed.”.
The PIE format is a method of documentation that states the problem or diagnosis (P), the intervention or action the nurse takes (I), and the evaluation of the results (E). It eliminates the need for a traditional care plan by incorporating it into the progress notes.
The intervention is the action that the nurse takes to address the problem.
In this case, the problem is constipation, and the intervention is administering a bisacodyl suppository as prescribed by the physician.
This is a specific and measurable action that can be evaluated later.
Choice A is wrong because it is not an intervention, but a health promotion activity.
Encouraging the client to increase fluid and fiber intake is a good practice, but it is not directly related to the problem of constipation.
Choice B is wrong because it is not an intervention, but an assessment.
Assessing the client’s bowel sounds and abdominal distension is part of the data collection process, but it does not solve the problem of constipation.
Choice D is wrong because it is not an intervention, but an evaluation.
Evaluating the client’s response to the suppository is the last step of the PIE format, where the nurse determines if the intervention was effective or not.
It does not describe what the nurse did to address the problem of constipation.
The normal range for bowel movements varies from person to person, but generally, having less than three bowel movements per week is considered constipation. Constipation can be caused by various factors, such as medication side effects, dehydration, low-fiber diet, lack of physical activity, or underlying medical conditions.