Questions and Answers
What should the nurse instruct the client regarding the aquathermia pad?
Which is the correct sequence of the stages of conflict process?
What type of precautions are required for a client with shigella?
What should a nurse manager do when handling an impaired nurse?
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Advance directives can be changed at any time.
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What is the nurse's priority when assessing a client post-surgery?
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What should the nurse do if a tube is clogged?
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Which research method provides a statistical analysis of multiple studies?
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What action should the nurse take if two staff members are breaching client confidentiality?
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Study Notes
Patient Safety and Care Guidelines
- Rotate and monitor aquathermia pad usage, instruct clients to report excessive warmth.
- Check client's leg 15-20 minutes after applying aquathermia pad to prevent complications.
- Maintain client safety by ensuring that call lights are within reach.
- Discontinue aquathermia pad if increased skin redness occurs and inform the provider.
Conflict Resolution Stages
- Latent conflict: awareness of potential conflicts.
- Perceived conflict: a discussion about the situation in an impersonal manner.
- Felt conflict: personal involvement leads to action among individuals.
- Manifest conflict: observable actions reflecting conflict.
- Conflict aftermath: recognition of outcomes from the management of conflict.
Infection Control Precautions
- Implement contact precautions for clients with Shigella.
- Use airborne precautions for clients with measles.
- Standard precautions apply to clients with toxic shock syndrome.
- Apply droplet precautions for clients with pertussis.
Nurse Manager Responsibilities
- Nurse managers should confidentially handle incidents of impaired nursing staff and avoid discussing it with coworkers.
- Arrange a meeting with impaired nurses within 24 hours to address rehabilitation measures.
- Report and document impairment incidents as necessary while maintaining confidentiality.
Advance Directives
- Clients can alter advance directives at any time according to their wishes.
- Critical to document advance directives in the medical record for clarity.
- Healthcare providers are obligated to follow the clients' wishes as stated in their advance directives.
Nursing Process and Client Assessment
- Initial step in the nursing process is assessment; determine factors affecting documentation.
- Evaluation includes assessing and including client discharge teaching in performance reviews.
- Prioritize training staff to implement standard discharge plans during the implementation phase.
Response to Client Conditions
- If vital signs are abnormal, further assessment is essential before initiating non-urgent care.
- DNR (Do Not Resuscitate) clients should not undergo life-saving interventions; contact a nurse for assessment of any critical findings.
- Prioritize clients based on urgency, focusing particularly on abnormal lab results and vital signs.
Enteral Feeding Management
- Flush feeding tubes every four hours with 30-50 ml of tap water.
- Use sterile water for medication administration, stopping enteral feeding prior to admin.
- Gentle pressure techniques are recommended to prevent damage to nasogastric tubes.
Client Prioritization in Emergencies
- Use clinical criteria to prioritize clients needing immediate assessment based on their condition.
- Lower extremity edema in heart failure clients may be nonurgent unless accompanied by more serious signs.
- Recognize critical signs such as urine output below expected levels (20 ml/hour) as urgent findings.
Assessment of Critical Pathways
- Critical pathways enhance evidence-based care for specific diagnoses but can increase administrative duties for nursing staff.
- Promote cost-effective care while maintaining adherence to evidence-based strategies tailored to common diagnoses.
Research Methodologies
- Meta-analysis provides statistical insights through quantitative assessment of various studies.
- Experimental studies compare control and treatment groups address independent variables.
- Qualitative methods like phenomenology create understanding of emotional participant experiences.
- Secondary analyses utilize existing data to explore new hypotheses.
Confidentiality and Professionalism
- Nurses must not engage in breaches of confidentiality; inappropriate conversations with staff are discouraged.
- It's the nurse manager's role to address disciplinary issues among staff.
- Report and document confidentiality breaches without discussing details with clients unless necessary for care purposes.
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Description
This quiz focuses on the nursing guidelines for using aquathermia pads, emphasizing client safety and injury prevention. Test your knowledge on the appropriate monitoring times and client instructions related to this therapy. Perfect for nursing students and professionals who want to ensure best practices in patient care.
