Author Question: A 15-year-old patient was admitted to the hospital with a bowel obstruction. The patient underwent ... (Read 59 times)

sc00by25 · **on:** Jul 22, 2018

A 15-year-old patient was admitted to the hospital with a bowel obstruction. The patient underwent surgery and was experiencing postoperative pain.

The nurse caring for the patient had recently read a research article in which a study had been done with neonatal (infant) patients and the use of therapeutic touch to assist with pain control. Which factor is most important for the nurse to consider in this case when applying research to clinical practice? a. The patient's gender
b. The patient's preference
c. The patient's allergies
d. The patient's roommate

Question 2

The labor/delivery nurse is caring for a 33-year-old who is in labor with her first child. The patient complained to the nurse about the hemorrhoids that she has experienced during the last month of her pregnancy.

She asks, what can I do to prevent future problems with hemorrhoids? What is the nurse's best response? a. Hemorrhoids are caused by defecation of stools that are loose and watery.
b. You need to soften your stools by drinking plenty of fluids.
c. You should eat less carbohydrates.
d. There is nothing that you can do to prevent hemorrhoids.

ky860224 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Using clinical expertise and considering patients' values and preferences ensures that a nurse will apply the available evidence to practice both safely and appropriately. Even when you use the best evidence available, application and outcomes differ based on your patients' values, state of health, preferences, concerns, and/or expectations. Patient's allergies, gender, and roommate are not important in this scenario as it does not affect therapeutic touch.

Answer to Question 2

B
Hemorrhoids are dilated, engorged veins in the lining of the rectum. Increased venous pressure resulting from straining at defecation, pregnancy, and chronic illnesses, such as congestive heart failure and chronic liver disease, are causative factors. A hemorrhoid forms either within the anal canal (internal) or through the opening of the anus (external). Passage of hard stool causes hemorrhoid tissue to stretch and bleed. Hemorrhoid tissue becomes inflamed and tender, and patients complain of itching and burning. Because pain worsens during defecation, the patient sometimes ignores the urge to defecate, resulting in constipation.