Author Question: The nurse is preparing to apply a moist aquathermia pack to a client's left upper leg. In which ... (Read 32 times)

viki · **on:** Jul 23, 2018

The nurse is preparing to apply a moist aquathermia pack to a client's left upper leg. In which order should the nurse prepare and apply this treatment?

1. Use tape or gauze ties to hold the pad in place.
2. Set the desired temperature according to the manufacturer's instructions.
3. Apply the pad to the body part. The treatment is usually continued for 30 minutes.
4. Fill the reservoir of the unit two-thirds full of water as specified by the manufacturer.
5. Cover the pad and plug in the unit. Check for any leaks or malfunctions of the pad before use.

Question 2

A client has episodes of bowel and bladder incontinence. When planning care for this client, the nurse would identify which nursing diagnosis as being appropriate?

1. Impaired Skin Integrity
2. Risk for Impaired Skin Integrity
3. Impaired Tissue Integrity
4. Risk for Infection

DylanD1323 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4, 2, 5, 3, 1

Rationale 1: The last step is to apply tape or gauze to hold the pad in place.

Rationale 2: Second, set the temperature according to the manufacturer's instructions.

Rationale 3: The fourth step is to apply the pad to the body part being treated and expect to keep the pad in place for 30 minutes.

Rationale 4: First, the reservoir of the unit should be filled two-thirds full with water.

Rationale 5: The third step is to cover the pad and plug in the unit, making sure the pad is checked for leaks or malfunctions before use.

Answer to Question 2

Correct Answer: 2
Rationale 1: Impaired Skin Integrity is appropriate if the client has an alteration in the epidermis or dermis.
Rationale 2: Because the client is experiencing episodes of incontinence without any current changes in skin integrity, the client is at Risk for Impaired Skin Integrity.
Rationale 3: Impaired Tissue Integrity is appropriate if the client has damage to mucous membranes, integument, or subcutaneous tissues.
Rationale 4: Risk for Infection would be appropriate if the client has severe skin impairment, the client is immunosuppressed, or the wound is caused by trauma.