A nursing assistive personnel (NAP) is providing AM care to patients. Which action by the NAP will require the nurse to intervene?
a. Not offering a backrub to a patient with fractured ribs
b. Not offering to wash the hair of a patient with neck trauma
c. Turning off the television while giving a backrub to the patient
d. Turning patient's head with neck injury to side when giving oral care
ANS: D
The nurse must intervene if the NAP turns the patient's head with a neck injury; this is contraindicated and must be stopped to prevent further injury. All the other actions are appropriate and do not need follow-up. Consult the medical record for any contraindications to a massage (e.g., fractured ribs, burns, and heart surgery). Before washing a patient's hair, determine that there are no contraindications to procedure (e.g., neck injury). When providing a backrub, enhance relaxation by reducing noise (turning off the television) and ensuring that the patient is comfortable.
You might also like to view...
A hospitalized client who is not prescribed medication for sleep tells the nurse about using a sedative to sleep "for years." What will the nurse most likely assess in this client?
Standard Text: Select all that apply. 1. Sleeplessness 2. Anxiety 3. Daytime drowsiness 4. Dizziness 5. Blurred vision
Synovium is best defined as which of the following?
A. A thin membrane that lines the joint capsule B. The smooth hyaline cartilage that covers the ends of the bones that move against one another C. Dense fibrous bands that hold the ends of the bones together D. An enzyme that promotes deposition of calcium phosphate salts in the bone matrix to calcify the bone
A nurse is caring for a client who has a medical home. Which of the following best describes what is being used by the client?
a. A building that houses multiple primary care providers and specialists b. A partnership between a community health nurse, a client, and a family c. A system that meets the needs of the indi-vidual, family, and community d. A collaboration of care provided by an interprofessional team
A parent brings a child to the clinic with concerns about the child's inability to sit alone. The nurse explains that development is based on in-born timetables and the child will be most likely able to meet this milestone at a specific time
The nurse is basing this information on which theory of growth and development? 1. Havighurst's theory 2. Task theory 3. Psychosocial theory 4. Maturational theory