The nurse is applying a warm moist compress to the client's right calf. Prior to putting the compress in place, which action by the nurse is the most appropriate?
1. Turn the client onto the left side.
2. Position the client appropriately.
3. Turn the client onto the right side.
4. Elevate the head of the bed.
2
Rationale 1: The client should be positioned appropriately to expose and assess area to be treated.
Rationale 2: The client should be positioned appropriately to expose and assess area to be treated.
Rationale 3: The client should be positioned appropriately to expose and assess area to be treated.
Rationale 4: The client should be positioned appropriately to expose and assess area to be treated.
Global Rationale: The client should be positioned appropriately to expose and assess area to be treated.
You might also like to view...
The care plan for an engineer with agoraphobia includes increasing self-esteem with cognitive restructuring. When the patient tells the nurse, "I'm not smart enough to get that job," the nurse should say:
a. "You must be smart to be in that position.". b. "You should not demean your abilities.". c. "Let's stop and think about what you just said.". d. "Poor self-esteem is behind that comment.".
When administering medication to a patient whose dose has a bar code on the medication wrapper that must be scanned by the computer, the nurse knows that which protocol(s) must be followed: (Select all that apply.)
1. Just scan the bar code with the computer; there is no need to do anything else. 2. The drug must be checked before removing it from the unit-dose cart. 3. Check the dose before preparing or measuring the medication. 4. The drug must be checked just before you open it and give it to the patient.
You are caring for a client who experiences the protrusion of an internal organ (bowel loop) through an incision. You should do which of the following first?
1. This is an emergency. Contact the physician immediately. 2. Cover the protruding intestine with a sterile dressing moistened with sterile normal saline solution to help prevent wound contamination, and keep the abdominal contents moist. 3. Monitor the client closely and assess vital signs and pulse oximetry readings. If the client goes into shock, contact the physician. 4. Provide emotional support to the client, because the event is extremely frightening.
Which statement(s) about acetylcysteine is/are true? (Select all that apply.)
a. It reduces viscosity of secretions. b. It treats acetaminophen toxicity. c. It is stored at room temperature. d. It is given to improve airway flow. e. It is odorless. f. It is administered by inhalation.