NURSING INTERVENTIONS

Which nursing intervention provides the most support to the parents of an infant with an obvious physical anomaly? - Answer-Encouraging them to express their concerns .What is the nurse's priority intervention when preparing for admission of a child with acute laryngotracheobronchitis? - Answer-Placing a tracheostomy unit by the bedside .A nurse enters a depressed client's room on the evening of admission and observes the client sitting in a chair crying. What is the most therapeutic response by the nurse? - Answer-"You're crying. Let's talk about it." .A 3-month-old infant hospitalized with severe diarrhea has excoriated skin in the diaper area. The mother becomes concerned when she discovers that the nurse has left her infant without a diaper. What is the nurse's explanation for this action? - Answer-Cleansing of the skin followed by air-drying reduces skin breakdown .A frail, depressed client who frequently paces the halls becomes physically tired from the activity. What action should the nurse take to help reduce this activity? - Answer-Have the client perform simple, repetitive tasks .A primary healthcare provider notes that all conventional treatment procedures have proved to be ineffective in managing a client's disorder. The primary healthcare provider decides to try an experimental treatment. The nurse ensures that the client has understood the implications of the new treatment plan thoroughly and then signs the client's consent form as a witness. Which basic healthcare ethic does the nurse follow in this situation? - Answer-Autonomy .A urine specimen is needed to test for the presence of ketones in a client who is diabetic. What should the nurse do when collecting this specimen from an indwelling urinary catheter? - Answer-Clamp the catheter, cleanse the port, and use a sterile syringe to remove urine .A female client in the mental health clinic has pressured speech and mumbles incoherently. What is the most appropriate nursing intervention? - Answer-Indicating to the client that she needs to slow down because what she says is important and cannot be understood .On the day after surgery for insertion of a ventriculoperitoneal shunt to treat hydrocephalus, an infant's temperature increases to 103.0° F (39.4° C). The nurse immediately notifies the practitioner. What is the next nursing action? - Answer-Removing excess clothing from the infant .The nurse plans to provide a back massage to a client. What should the nurse do first in this situation? - Answer-Assess the client's preference for touch and massage.