A patient who has sustained third-degree facial burns and a facial fracture is undergoing reconstructive surgery and implantation of a prosthesis
The nurse has identified a nursing diagnosis of Disturbed Body Image Related to Disfigurement. What would be an appropriate nursing intervention related to this diagnosis?
A) Referring the patient to a speech therapist
B) Gradually adding soft foods to diet
C) Administering analgesics as prescribed
D) Teaching the patient how to use and care for the prosthesis
Ans: D
Feedback:
The process of facial reconstruction is often slow and tedious. Because a person's facial appearance affects self-esteem so greatly, this type of reconstruction is often a very emotional experience for the patient. Reinforcement of the patient's successful coping strategies improves self-esteem. If prosthetic devices are used, the patient is taught how to use and care for them to gain a sense of greater independence. This is an intervention that relates to Disturbed Body Image in these patients. None of the other listed interventions relates directly to the diagnosis of Disturbed Body Image.
You might also like to view...
The nurse is developing a concept care map for a client with multiple medical problems. What would the nurse take as the first step in developing and using a concept care map?
A) Assessment B) Assessment/Diagnosis C) Diagnosis/Planning D) Planning/Implementation
A woman is admitted for repair of cystocele and rectocele. She has nine living children. In taking her health history, which of the following would the nurse expect to find?
A) Sporadic vaginal bleeding accompanied by chronic pelvic pain B) Heavy leukorrhea with vulvar pruritus C) Menstrual irregularities and hirsutism on the chin D) Stress incontinence with feeling of low abdominal pressure
The interaction between an agent, a host, and the environment is called:
a. natural history of disease. b. risk. c. web of causality. d. the epidemiologic triangle.
Which anticoagulant's mechanism of action involves an inhibition of platelet aggregation?
A. Heparin B. Streptokinase C. Warfarin D. Aspirin