Question

which is a health care provider-initiated intervention?

monitor intake and output every 2 hours.
teach the client how to transfer from bed to chair and chair to bed.
assist the client with coughing and deep breathing every hour.
administer oxygen at 4 l/min per nasal cannula.

Explanation:

Define intervention categories

Using the Principles of Care Planning knowledge point, nursing interventions are classified into three main categories based on who initiates them and the level of autonomy required:

• Nurse-initiated (Independent) interventions: Actions that a nurse can legally initiate and perform without an order from a physician or other health care provider (e.g., patient teaching, basic physical care, monitoring).
• Health care provider-initiated (Dependent) interventions: Actions that require a written or verbal order from a licensed health care provider, such as a physician, nurse practitioner, or physician assistant (e.g., administering medications, starting an intravenous line, administering oxygen).
• Collaborative (Interdependent) interventions: Therapies that require the combined knowledge, skill, and expertise of multiple health care professionals (e.g., physical therapy, dietary planning).

Analyze the given options

• Monitor intake and output every 2 hours: This is an independent nursing action (nurse-initiated) that falls within the nurse's autonomous scope of practice to assess fluid balance.
• Teach the client how to transfer from bed to chair and chair to bed: Patient education is an independent nursing function (nurse-initiated) that does not require a provider's order.
• Assist the client with coughing and deep breathing every hour: Assisting with basic pulmonary hygiene is an independent nursing intervention (nurse-initiated) aimed at preventing respiratory complications.
• Administer oxygen at 4 L/min per nasal cannula: Oxygen is classified as a medication/therapeutic gas. Administering oxygen requires a specific prescription (order) from a licensed health care provider, making it a dependent (health care provider-initiated) intervention.

Select the correct option

The only intervention listed that requires a direct order from a health care provider is administering oxygen. Therefore, "Administer oxygen at 4 L/min per nasal cannula" is the correct health care provider-initiated intervention.

Answer:

• Monitor intake and output every 2 hours.
• Teach the client how to transfer from bed to chair and chair to bed.
• Assist the client with coughing and deep breathing every hour.
• Administer oxygen at 4 L/min per nasal cannula. (Correct answer)