A patient complains that his "bottom" is sore. The nurse assesses the area and finds an open area on the sacrum that appears blistered. What action should the nurse implement?
a. Document the cause of the burn.
b. Clean with alcohol, apply moisturizer, and cover with a set dressing.
c. Massage the area to promote circulation.
d. Clean with mild soap, dry, and apply a light dressing.
D
If pressure ulcers develop despite all preventive measures, proper and early treatment improves the chance for reversal. A stage II ulcer should be cleaned with mild soap and water or with ste-rile normal saline, patted dry, and covered with a dressing that allows airflow.
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The first-time mother has been told by the nurse that the first stage of labor is the longest. An appropriate nursing intervention for comfort during this time would be:
a. cool fluids to drink. b. a backrub in the sacral area. c. assisting to lie in a supine position. d. decreasing illumination in the room.
Self-awareness of one's own spiritual and cultural perspective is important so that nurses:
a. take care not to impose personal beliefs and values on patients. b. can more consciously address culture and spirituality with patients. c. are more aware of differences that may cause potential dilemmas. d. All of the above.
Which action by the nurse shows cultural competence of Native American culture? (Select all that apply.)
a. Refuse to allow rituals to be practiced at the bedside. b. Allow the family to bring in a medicine man for healing. c. Allow the family and patient time for prayer. d. Provide space for rituals. e. Work hard to gain trust.
Clusters of personality traits that demonstrate healthy or unhealthy characteristics are sometimes used to describe a person's ____________________
Fill in the blank(s) with correct word