Pruritus is usually associated with jaundice. What will you do to ease this problem for P.M.?
Name five interventions.
• Provide light, loose covers and clothing.
• Maintain a cool room temperature with a humidifier if possible.
• Place cool compresses on itchy areas.
• Apply soothing emollients such as oatmeal, baking soda, or cornstarch in warm bath water. Also
apply creams or lotions regularly to prevent itching followed by scratching.
• Use mild soap only.
• Dry skin thoroughly after bathing by patting, not rubbing.
• Avoid bathing so frequently that the skin becomes dry and flaky. Do not use excessively hot water;
water should be comfortably warm.
• Teach P.M. relaxation techniques.
• Use distraction (e.g., videos, TV, music, sports discussions).
• Warn him not to use fingernails to scratch.
• Show him how to wash his hands.
• Use of topical corticosteroids might help. These require an order in the hospital but can be bought
over the counter (OTC) outside of the hospital.
• Obtain an order for an antihistamine to help prevent or relieve itching. A nonsedating medication
is preferred during the day; one that has side effects of sedation is more acceptable at night. Teach
patient about this side effect and also about its "drying effects."
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A home health care nurse is working with the family of a patient who has Alzheimer disease and requires 24-hour care. What assessment by the nurse indicates the family is meeting an important goal for caregiver role strain?
a. Family eats dinner together every night. b. Family uses respite care one night a week. c. Family investigates research trials for patient. d. Family verbalizes exhaustion from caregiving.
When assessing a client diagnosed with borderline personality disorder, it would be most important for the nurse to assess for which of the following?
A) Inconsistencies between vocalizations and behaviors B) Scars or cuts C) Nonverbal behaviors D) Resistance to questioning
What are acceptable forms of identification at the testing center? (Select all that apply.)
a. U.S. driver's license b. U.S. state-issued identification c. Credit or debit card with photo identifica-tion. d. Passport e. U.S. military identification f. School or university picture identification
Documentation of home care should always focus on which of the following factors? (Select all that apply.)
A) Completing OASIS requirements B) Unskilled care provided C) Homebound status D) Achievement of care outcomes E) Client illness and safety