« previous next »

Author Question: He nurse is caring for a patient who is about to have surgery. Which intervention will be included ... (Read 41 times)

ashley

  • Hero Member
  • *****
  • Posts: 584
on: Jul 23, 2018
he nurse is caring for a patient who is about to have surgery. Which intervention will be included in the patient's care to meet the goals for Risk for perioperative positioning injury r/t immobilization during surgical procedure?
 
  a. Orient the patient to the OR environment and place the call light within reach.
  b. Watch for early signs of hypovolemia caused by patient's NPO status since midnight.
  c. Use therapeutic touch and guided imagery to allay patient's fears of surgery.
  d. Pad all bony prominences and avoid hyperextension of extremities.

Question 2

The nurse is caring for a patient who has pain following abdominal surgery. Which of the following are independent nursing interventions that can be used to make the patient more comfortable? (Select all that apply.)
 
  a. Encourage the patient to relax and imagine that he is resting on a tropical beach.
  b. Provide headphones so that the patient can listen to his favorite music.
  c. Increase pain medication dosage if prescribed regimen is ineffective to manage pain.
  d. Teach the patient to take pain medication before discomfort becomes severe.
  e. Switch the patient from IV to oral pain medication when bowel sounds return.
  f.
  Demonstrate the use of relaxation breathing before painful procedures.


jjorrostieta

  • Sr. Member
  • ****
  • Posts: 298
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Risk for perioperative positioning injury is addressed by ensuring that the patient's skin and bony prominences are well padded during the surgery. In addition, hyperextension of extremities may lead to joint damage, so this should be avoided as well. The other interventions are appropriate for perioperative care but do not relate directly to the nursing diagnosis of positioning injury potential.

Answer to Question 2

ANS: A, B, D, F
Independent nursing interventions may be carried out without an order from the physician. Changing medication orders must be done by the physician; increasing pain medication dosage and switching the patient to PO pain medications are not independent nursing interventions.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

A recent study has found that following a diet rich in berries may slow down the aging process of the brain. This diet apparently helps to keep dopamine levels much higher than are seen in normal individuals who do not eat berries as a regular part of their diet as they enter their later years.

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

Did you know?

When Gabriel Fahrenheit invented the first mercury thermometer, he called "zero degrees" the lowest temperature he was able to attain with a mixture of ice and salt. For the upper point of his scale, he used 96°, which he measured as normal human body temperature (we know it to be 98.6° today because of more accurate thermometers).

Did you know?

Your skin wrinkles if you stay in the bathtub a long time because the outermost layer of skin (which consists of dead keratin) swells when it absorbs water. It is tightly attached to the skin below it, so it compensates for the increased area by wrinkling. This happens to the hands and feet because they have the thickest layer of dead keratin cells.

Did you know?

Never take aspirin without food because it is likely to irritate your stomach. Never give aspirin to children under age 12. Overdoses of aspirin have the potential to cause deafness.

Surgery Surgery
Patient teaching: abdominal assessment Patient teaching: abdominal assessment
Computerized Patient Record (CPR) Computerized Patient Record (CPR)
An open chamber MRI may be more comfortable for the patient, but images may not be as distinct. An open chamber MRI may be more comfortable for the patient, but images may not be as distinct.
Video: The Nerve Impulse

For a complete list of videos, visit our video library