The nurse is applying a moist dressing on the arm of a patient with acute dermatitis. Which of the following nursing interventions would be appropriate when performing this procedure?
A) Follow standard procedures.
B) Premoisten the area with alcohol.
C) Use a bed cradle when applying the dressing.
D) Medicate with analgesics following the procedure.
A
Feedback:
The nurse would assume that the wound is contaminated and follow standard procedures. Existing dressing may be premoistened with warmed sterile, normal saline, if ordered. A bed cradle should be used when applying packs to the client's legs or torso to prevent wicking of the solutions to the linens. Also, the client should be medicated with analgesics and anxiolytics (antianxiety) ½ to 1 hour before the procedure.
You might also like to view...
A nurse caring for a child is concerned about remaining therapeutic when working with a child with anger management issues. Which of the following must the nurse avoid in order to remain therapeutic?
1. Examining personal feelings about the child 2. Reflecting back on a situation 3. Projecting his/her feelings onto the child 4. Sharing his/her concerns with peers and colleagues
A patient with Duchenne's muscular dystrophy requires an intermittent short-term therapy to maintain alveolar ventilation. The patient is not a candidate for aggressive mechanical ventilation as provided through an artificial airway
Which of the following would be the most appropriate treatment for this patient? A) Manual resuscitator B) Negative-pressure ventilator C) Volume ventilator D) Pressure ventilator
You observe increased hair growth across the face and chest of a female client. What is your next best action?
A. Notify the physician. B. Document the finding as the only action. C. Assess for changes in fat distribution and capillary fragility. D. Suggest that the client may wish to shave this embarrassing hair growth.
The charge nurse on an oncology unit encourages her staff to complete a values clarification exercise. What type of insight is provided by the exercise? (Select all that apply.)
a. The nurses' own values b. Values that influence care decisions c. Values that must be abandoned or changed d. Values that may cause an ethical dilemma e. Negative values