A client has come to a nurse practitioner with concerns about health care costs
The client, who had one myocardial infarction and later suffered from severe anxiety, asks for a plan of care that includes appropriate complementary and alternative therapies. Which of the following CAM modalities is not appropriate for someone with a history of cardiac problems? 1. Massage
2. Moderate exercise
3. Active progressive relaxation
4. Finger-holds for general well-being
3
Rationale: Clients with cardiac problems may be at increased risk for cardiac arrhythmia because of vasovagal stimulation with certain techniques such as active progressive relaxation. Depending upon client preferences, massage can be a beneficial stress management tool. Finger-holds for general well-being is a form of acupressure and has the potential to bring the anxious client into a moderate meditative state that is not so deep as to cause a vasovagal stimulation. Moderate exercise, as prescribed by one's physician, is a known self-care management technique in cardiac rehabilitation.
You might also like to view...
The nurse receives an order from the primary care provider that the nurse believes would be harmful to the client. What should the nurse do to meet her legal obligation to the client?
1. Carry out the order as written, because the provider knows best. 2. Document in the medical record that the order wasn't carried out, and why. 3. Contact the supervisor to discuss the order and the nurse's concerns. 4. Just ignore the order, and document that it was not carried out.
A patient in the ICU has just undergone arterial blood gas testing. Her results are as follows: PaO2 is 90 mm Hg, pH is 7.43, PaCO2 is 24, and HCO3 is 19 mEq/L. Which of the following indicates this patient's condition?
A) Respiratory alkalosis, fully compensated B) Respiratory acidosis, partially compensated C) Metabolic alkalosis, fully compensated D) Metabolic acidosis, partially compensated
In which of these situations should the nurse allow the side rails on a toddler's crib to be lowered?
a. when direct care is being provided b. when the caregivers are with the child c. when additional supplies are required for a procedure d. when a member of the housekeeping staff is in the room
A patient who is known to the nurse requests pain medication shortly after the physician leaves the room after discussing the patient's poor prognosis. The nurse enters the room to find the patient in tears
What would be the action on the part of the nurse that best conveys being with the patient? 1. Sitting on the bed to talk to the patient 2. Giving the pain medication as soon as possible 3. Encourage the patient to rest 4. Change the subject to distract the patient from worrying