The nurse is providing instructions to a client regarding the use of ice packs to treat an eye injury. The nurse instructs the client to:
1. Place the ice pack directly on the eye.
2. Avoid the use of commercially prepared ice bags.
3. Keep the ice pack on the eye continuously for 24 hours.
4. Wrap a plastic bag filled with ice with a pillowcase, and place it on the eye.
4
Rationale: If an ice pack is placed directly against the skin or left in place for an extended peri-od, it carries a risk of tissue damage similar to that of a hot water bottle. To prevent tissue dam-age from excessive cold exposure, the ice pack should be removed in most cases after 30 minutes and, after a short time, may be reapplied. An ice pack should never be placed directly against the skin but should be covered with a pillowcase or towel. Commercially prepared ice bags are ap-propriate for use as an ice pack.
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Which of the following best describes a flaw of many of the health care bills passed during the last four decades?
a. They avoided interfering with the current health care approach and did not improve problems of access or duplication of efforts. b. They encouraged each state to do what was best for its residents without consideration of what was best for the nation as a whole. c. They created new layers of bureaucracy in health care administration. d. They did not include financing to pay for the suggested changes.
A patient has been taking methadone [Dolophine] for 5 months to overcome an opioid addiction. The nurse should monitor the patient for which of the following electrocardiographic changes?
a. Prolonged QT interval b. Prolonged P-R interval c. AV block d. An elevated QRS complex
The nurse is providing care to a terminally ill patient from a different culture. Which question is most appropriate for the nurse to ask regarding patient-specific culturally-based death rituals?
1) "How do people in your culture react to the death of a family member?" 2) "Are people in your culture expected to show grief or remain stoic?" 3) "What is the meaning of afterlife in your culture?" 4) "Which specific practices should I be aware of when you pass?"
The MOST widely accepted energy-based technique in nursing is:
a. craniosacral balancing b. healing touch c. therapeutic touch d. polarity therapy