Assessment of a client reveals that the area directly under the heating pad is slightly red. The nurse should:
A. Continue the therapy
B. Apply a cold compress
C. Reduce the amount of heat
D. Remove the pad and reassess in 5 minutes
D
A, B, C, and D. If skin is reddened and sensitive to touch, the symptoms indicate first-degree burn. Remove the pad, and reassess in 5 to 10 minutes.
You might also like to view...
The nurse is providing teaching about lifestyle changes for an older client with BPH. Which statement made by the client indicates further teaching is required?
1. "I will avoid drinking alcohol." 2. "I will increase the fiber in my diet." 3. "I will decrease my intake of fluids." 4. "I will no longer take any antihistamines."
A patient says that she is planning to quit smoking and reduce alcohol consumption. The nurse realizes this patient is demonstrating which of the following behaviors?
a. health promotion c. health protection b. disease prevention d. wellness
A nurse educator who has been teaching for a period of time uses the traditional teaching-learning process
Which of the following steps in the traditional teaching-learning process includes four steps in which sorting and categorizing the data is the third step? A) Planning B) Assessment C) Evaluation D) Documentation
The nurse formulates the nursing diagnosis of, Urinary retention related to sensorimotor deficit for a client with multiple sclerosis. Which nursing intervention should the nurse implement?
A) Teach the client techniques of intermittent self-catheterization. B) Decrease fluid intake to prevent over distention of the bladder. C) Use incontinence briefs to maintain hygiene with urinary dribbling. D) Explain that anticholinergic drugs will decrease muscle spasticity.