Author Question: The nurse caring for a client with joint pain associated with disseminating intravascular ... (Read 51 times)

leilurhhh · **on:** Jul 22, 2018

The nurse caring for a client with joint pain associated with disseminating intravascular coagulation would utilize which of the following interventions to help the client?

1. Apply heat
2. Apply splints
3. Apply cool compresses
4. Apply ice

Question 2

The ANA's proposal for entry level for professional practice initiated debate among nurses. Which of the following would be most at risk if the ANA proposal were implemented?

1. An RN with an associate degree who has a head nurse position
2. An RN with a BSN who is a staff nurse
3. An RN with a diploma who works overtime
4. An RN with an associate degree who is currently in school

ergserg · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Apply cool compresses

Rationale:
Joint pain associated with disseminated intravascular coagulation can be reduced by applying cool compresses to the affected joints to reduce the transmission of pain impulses. Heat will encourage bleeding and should not be applied to this client. Splints may hinder joint mobility and are not indicated for the care of this client. Ice should not be applied but rather cool compresses.

Answer to Question 2

1. An RN with an associate degree who has a head nurse position

Rationale:
According to the ANA's proposal, only the baccalaureate graduate would be licensed under the legal title registered nurse. The graduate with an associate degree or diploma would be considered a technical nurse. If the ANA proposal is implemented, nurses who are currently licensed and educated in associate degree or diploma programs would have to be considered under a grandfather clause, provided that their performance meets established standards. If an institution required a minimum of a baccalaureate degree for the position of head nurse, an RN who is currently employed as a head nurse but who does not hold the baccalaureate degree would have no guarantee of retaining that position.