The patient with burns reports having difficulty sleeping. The nurse is reviewing potential alternative therapies to assist with this concern
The selection of which of the following methods indicates an inadequate understanding of acceptable methods? 1. massage
2. aromatherapy
3. drinking a glass of warm milk before retiring
4. reducing the temperature of the room
1
Rationale: The use of massage therapy is contraindicated in conditions including burns, advanced osteoporosis, bone fractures, DVT, eczema, phlebitis, and infections of the integument. Aroma- therapy, warm milk and a cool comfortable environment are facilitators to rest.
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A client is in the clinic for a follow-up visit after a moderate traumatic brain injury. The client's spouse is very frustrated, stating that the client's personality has changed and the situation is intolerable. What action by the nurse is best?
a. Explain that personality changes are common following brain injuries. b. Ask the client why he or she is acting out and behaving differently. c. Refer the client and spouse to a head injury support group. d. Tell the spouse this is expected and he or she will have to learn to cope.
A patient is brought to the emergency department by the paramedics. The patient is in cardiac arrest. The patient is revived and placed in a state of mild hypothermia before being transferred to the cardiac intensive care unit
The nurse caring for this patient knows to monitor this patient for what? (Mark all that apply.) A) Acute cardiac syndrome B) Neuromuscular paralysis C) Myoclonus D) Shivering E) Excited sinus rhythm
The various systems and organs develop at different states. Which of the following statements is accurate?
1. The cardiovascular system is the first organ system to function in the developing human. 2. Hematopoiesis originating in the yolk sac begins in the liver at 10 weeks. 3. The body changes from straight to C shaped at 8 weeks. 4. The gastrointestinal system is mature at 32 weeks.
The nurse completing a physical assessment for a newly admitted male patient is unable to feel either kidney on palpation. Which action should the nurse take next?
a. Obtain a urine specimen to check for hematuria. b. Document the information on the assessment form. c. Ask the patient about any history of recent sore throat. d. Ask the health care provider about scheduling a renal ultrasound.