A nurse is caring for a patient with burns who is in the later stages of the acute phase of recovery. The plan of nursing care should include which of the following nursing actions?
A) Maintenance of bed rest to aid healing
B) Choosing appropriate splints and functional devices
C) Administration of beta adrenergic blockers
D) Prevention of venous thromboembolism
Ans: D
Feedback:
Prevention of deep vein thrombosis (DVT) is an important factor in care. Early mobilization of the patient is important. The nurse monitors the splints and functional devices, but these are selected by occupational and physical therapists. The hemodynamic changes accompanying burns do not normally require the use of beta blockers.
You might also like to view...
Tasks differ in qualitative and quantitative studies, but the progression of tasks in both is similarly linear
A) True B) False
Nurses should be aware that all reputable childbirth methods attempt to do all of the following except:
1. increase the woman's sense of control. 2. prepare a support person to help in labor. 3. guarantee a pain-free childbirth. 4. train the woman in physical conditioning.
A parent questions the nurse about her 5-year-old who has begun to masturbate and question the parents about sexual differences among the child's peer mates. The nurse, familiar with Freud's stages of development, responds by saying:
1. "All children are curious, but make sure the child knows that this behavior might be offensive to others." 2. "You should probably consult a child psychologist if you're this concerned." 3. "Let's make sure to ask your physician at the next appointment." 4. "This behavior is a normal part of your child's development."
Which outcome should the nurse include in the plan of care for the older client receiving nonsteroidal anti-inflammatory drug (NSAID) therapy?
A. The client will refrain from taking other medications with the nonsteroidal anti-inflammatory drug (NSAID). B. The client will avoid the use of caffeine while taking the nonsteroidal anti-inflammatory drug (NSAID). C. The client will report any bleeding or bruising while taking the nonsteroidal anti-inflammatory drug (NSAID). D. The client will report any mood changes while taking the nonsteroidal anti-inflammatory drug (NSAID).