You are caring for a patient who has a history of Crohn's disease. She gets severe abdominal cramps and uses a heating pad at home for the pain. She is very fair with freckles and red hair; she is also 11 weeks pregnant. Your facility often uses a heating pack that is self-contained and temperature regulated to avoid burns. There is no order for this, nor is it in her care plan. You tell her you
will speak to the nurse. The patient tells you the facility system is not good enough; it does not get hot enough anyway. She will have her husband bring in her own. Is this acceptable?
What will be an ideal response?
This is not acceptable. Application of heat is contraindicated in pregnancy; it can affect fetal growth. Even if this were not the case facilities use their own heat packs to prevent burns. The patient with fair skin and red hair is at even higher risk for burns. Some facilities limit or restrict patients from bringing in electrical items as they cannot assure they will be in proper working condition, with undamaged, grounded plugs to meet fire safety standards.
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It is suggested that you practice which skills prior to your interview?
1. Nursing skills 2. Writing skills 3. Entrance skills 4. Math skills
Conceptual models of nursing are used by nurse researchers as an inspiration in formulating research questions and directing research hypotheses. Some of the concepts that form these models include which of the following? Select all that apply
A) Health promotion B) Unified whole C) Adaptation D) Self-efficacy
If a woman's fundus is soft 30 minutes after birth, the nurse's first response should be to:
a. massage the fundus. b. take the blood pressure. c. notify the physician or nurse-midwife. d. place the woman in Trendelenburg position.
Your client family is experiencing a crisis. The adolescent member of the family has undergone emergency hospitalization for a suicide gesture
The family feels helpless and is in doubt about how to care for their adolescent family member. Which nursing diagnosis is appropriate? 1. Compromised family coping 2. Disabled family coping 3. Interrupted family processes 4. Readiness for enhanced family coping