The nurse admits a client with left hand and wrist cellulitis. Which does the nurse implement to apply dry heat to the area using an Aquathermia pad?
1. Keeps fluid chamber in device empty
2. Covers pad with a towel or pillowcase
3. Positions the client directly on the pad
4. Sets Aquathermia temperature at 98° F
2
2. To implement dry heat with an Aquathermia pad, the nurse covers the pad with a layer of insulation to help prevent skin exposure to excessive heat potentially leading to maceration.
1. The nurse sustains the fluid in the Aquathermia pad reservoir because the heat it provides radiates from warm fluid circulating through the pad.
3. The nurse avoids positioning a client directly on an Aquathermia pad for heat therapy because it increases the risk of burns and tissue maceration.
4. An Aquathermia pad is usually set at 105° F.
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After teaching a client with perineal excoriation caused by diarrhea from acute gastroenteritis, a nurse assesses the client's understanding. Which statement by the client indicates a need for additional teaching?
a. "I'll rinse my rectal area with warm water after each stool and apply zinc oxide ointment." b. "I will clean my rectal area thoroughly with toilet paper after each stool and then apply aloe vera gel." c. "I must take a sitz bath three times a day and then pat my rectal area gently but thoroughly to make sure I am dry." d. "I shall clean my rectal area with a soft cotton washcloth and then apply vitamin A and D ointment."
A patient is complaining of a sharp pain along the costovertebral angles. The nurse is aware that this symptom is most often indicative of:
a. Ovary infection. b. Liver enlargement. c. Kidney inflammation. d. Spleen enlargement.
The nurse identifies that a client has not met the expected outcome established for the nursing diagnosis Ineffective Individual Coping. What should the nurse do first?
1. Revise the nursing diagnosis. 2. Reassess the patient, looking for previously unknown stressors. 3. Rewrite the interventions used to address the problem. 4. Explore reasons why the outcome was not achieved.
The nurse is completing a pain assessment on a 4-year-old child. Which of the depicted pain scale tools should the nurse use with a child this age?
a. b. c. d.