The nurse is preparing to perform a heel stick on a newborn. The most appropriate complementary therapy for the nurse to plan to use for the newborn to decrease pain during this quick but painful procedure is:
1. Swaddling.
2. Sucrose pacifier.
3. Massage.
4. Holding the infant.
2
Rationale:
1. This measure is more appropriate following the procedure or as an adjunct to pain medication for ongoing pain or distress.
2. Sucrose provides short-term natural pain relief, and is most appropriate for use in newborns to decrease pain associated with a quick procedure.
3. This measure is more appropriate following the procedure or as an adjunct to pain medication for ongoing pain or distress.
4. This measure is more appropriate following the procedure or as an adjunct to pain medication for ongoing pain or distress.
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The nurse is a member of the ethics committee. An alert, oriented, and competent 87-year-old man has asked to have a DNAR order put on his chart
The patient's family does not agree with his decision and requests the ethics committee to intervene on their behalf. The ethics committee would most likely use which model in this patient's case? 1) Social justice 2) Patient benefit 3) Autonomy 4) DNAR determination
A research study contains the following in its Introduction section:
"This study was undertaken to explore the effect of massage on total hours of sleep per 24-hour day, in persons averaging fewer than 7 hours of sleep per night, attributable to insomnia. . . . Presumably by increasing endorphin levels, massage seems to provide an immediate relaxation and an ability to sleep immediately following the session, but it is unclear whether these benefits actually extend to total sleep, despite anecdotal support. The claim that massage increases total hours of sleep has been inadequately researched. . . . Does massage increase the total number of hours of daily sleep? . . . It was posited that provision of daily late-morning massage would affect total hours of sleep per 24-hour day. The study's causational explanation was based on the physiologic matrix of McCarthy, which includes effects of endorphins on sleep, learning ability, pain, digestive function, and cardiac output. . . . It was taken as established fact that massage is pleasant, that research subjects getting fewer than 7 hours of sleep per night were sleep-deprived, and that endorphins mediated the changes observed." What is the research framework? a. It was taken as established fact that massage is pleasant, that research subjects getting fewer than 7 hours of sleep per night were sleep-deprived, and that endorphins mediated the changes observed. b. Presumably by increasing endorphin levels, massage seems to provide an immediate relaxation and an ability to sleep immediately following the session, but it is unclear whether these benefits actually extend to total sleep, despite anecdotal support. c. It was posited that provision of daily late-morning massage would affect total hours of sleep per 24-hour day. d. The study's causational explanation was based on the physiologic matrix of McCarthy, which includes effects of endorphins on sleep, learning ability, pain, digestive function, and cardiac output.
Which statement demonstrates the successful implementation of a win-win agreement between an LPN who has returned to school and their nurse manager?
A) "I work school breaks and the holidays so that I have every Monday, Wednesday and Friday off for school." B) "My nurse manager has promised to give me first consideration for an RN position on the unit after I graduate." C) "The facility has promised to provided tuition re-imbursement for every nursing course in which I earn a B or higher." D) "My nurse manager is a graduate of this same nursing program and is so helpful with study tips and even used textbooks."
A person has an ostomy pouch. The pouch is bulging from flatus. What should you do?
a. Call for the nurse. b. Make a hole in the pouch for the escape of gas. c. Open the pouch. d. Change the pouch.