A client who is on postoperative day one from abdominal surgery is requesting a back rub. The nurse realizes this care should be provided by:
1. The registered nurse.
2. Unlicensed assistive personnel.
3. No one since, the client cannot assume the prone position.
4. The physician.
Correct Answer: 1
Rationale 1: Since the client is day one in recovery from abdominal surgery, the client's condition might not be stable enough to have unlicensed assistive personnel perform the skill.
Rationale 2: Although unlicensed assistive personnel might be able to perform the skill, the client's condition might warrant that the nurse provide the back rub.
Rationale 3: The client can assume a side-lying position for the back rub.
Rationale 4: The nurse can provide the back rub. The physician does not need to be contacted to do this.
You might also like to view...
The nurse is preparing to conduct a health history with an older patient. Which action will the nurse take to ensure the accuracy and efficiency of the patient's health history?
1. Scheduling 30 minutes for the medical history interview 2. Requesting the patient bring a list of current medications taken regularly 3. Conducting the history in an environment with comfortable seating and proper lighting 4. Having the patient complete the past medical history form upon arrival for the appointment
A patient with ovarian cancer is admitted to the hospital for surgery and the nurse is completing the patient's health history. What clinical manifestation would the nurse expect to assess?
A) Fish-like vaginal odor B) Increased abdominal girth C) Fever and chills D) Lower abdominal pelvic pain
The following information is recorded in the health history: “I feel really tired.” Which category does it belong to?
A) Chief complaint B) Present illness C) Personal and social history D) Review of systems
A child has been prescribed to use Senna to help reduce constipation. The nurse should include which of the following in her teaching?
1. Senna can be used long term. 2. Increasing the amount of fluid intake will be important to help Senna work effectively. 3. Senna should be used after an enema has been given. 4. Senna should also be used with milk of magnesium to improve the outcomes.