A nurse is completing discharge teaching to a client with osteoarthritis. Which action is believed to be most useful in preventing wound infections? Make a mental note of the patient’s age and their level of understanding, and tailor your speech to meet their needs. Failure to heed the call to defecate may lead to overdistention of the rectum with hardening of the stool and constipation. Lock the wheels of the bed and the wheelchair. Does the patient have all necessary items within easy reach? Robinson, TE, White, GL Jr & Houchins, JC 2006, ‘Improving Communication with Older Patients: Tips from the Literature’, Family Practice Management, vol. The nurse should suspect possible abuse with which of the following clients? The client is on airborne precautions and is being treated with multidrug therapy. Assist the patient to sit in an upright position at a table in a dining room, in a chair by the bed or upright in bed if the patient cannot get up. Which of the following precautions should the nurse take to safely transport the client to x-ray? A nurse inserts an indwelling urinary catheter for a client who is preoperative. Comfort them and do not betray their trust in you. The client states, "I'm not taking any more medication." Which statement made by the client, regarding flat patches of brown skin on the face, demonstrates understanding? I'm just wondering WHEN or what situation do you NOT help the patient get up and just call 911 instead??? A nurse is implementing a bladder training program.

If the res. An older adult client who has a hip fracture and is in Buck's traction.

The acute care nurse is preparing to bathe a client and notices that the client is wearing a regular hospital gown and has continuous intravenous (IV) fluids infusing. A nurse is providing support for the parents of a child who has a new diagnosis of a terminal brain tumor. Obviously if they are in pain or obvious fx, I leave them on the floor and do not move them and call 911. We (the LPN) stays with the patient and does not leave until the RN arrives. A nurse is caring for a client who has impaired renal function. Another Pt (non-ambulitory) fell while out of building, (nothing reported to us) 3 weeks later she comes to me c/o leg pain, has a real nasty bruise around her lower leg, ---> ER, DX---> broken fibula, 3 weeks old, already calcifing. What you say to a doctor or a fellow nurse might be very different to what you would say to a patient and their family. With the outphasing of sitters and the frowning upon restraints there isn't much we can do else we can do, as a solitary nurse with many patients, to stop someone who is determined and/or confused. Communication is a two-way street. Decontaminate your hands to reduce the risk of cross infection and put on an apron (Dougherty and Lister, 2015). For which client is a sitz bath most appropriate? Advance the catheter 2 inches after urine begins to flow. If the bed is adjustable, change the height of the bed so the person's feet can touch the floor. A nurse in a mental health clinic is caring for a client who states, "I think I might have a problem with alcohol." Leave me alone" What statement should the nurse make? If they need you to be present, be present. Communication evolves; be realistic with your expectations and be patient, yet motivated, to create small changes. You may need to moderate your language, get down to the level of the child, and use a positive and non-threatening tone of voice to show them that you mean no harm. Methodically working through what you need to communicate will help you to remember each point and to deliver it in a time efficient manner. Instruct the client to hold a muscle tight for approximately 5 seconds, then relax. Use the word ‘medicine’ rather than ‘drug’ when talking to patients. Offer sips of fluid after every couple of mouthfuls; this can help eating. A nurse is caring for a client who has a new diagnosis of colon cancer. If you’re finding a particular patient especially difficult to speak with, simply being there, smiling, sharing meaningful eye contact and some human touch (with consent) can make all the difference. We do neuro checks if there are any questions of them hititng their head also. Continue to give the same honest, loving care you have been providing the patient. Mehrabian, A 1971, Silent Messages, Wadsworth Publishing Company, Belmont, CA. Which of the following interventions should the nurse take? Nurses should assist patients to make appropriate meal choices; for example, if they can only eat soft food due to poor dentition they should be made aware which foods on the menu are soft and easy to chew.

Geoffrey Ahern is a senior mental health clinician and educator who splits his time between working with people in a mental health crisis in the ED setting and working proactively to educate other health professionals and the community about how to better understand mental health problems, as well as substance use and addiction. You are a representative of your facility and the nursing profession in general. “You neglected to,” which indicates they are lying, After the meal ensure the patient is clean and comfortable and has had enough to eat and drink. Make it a point to be there for them, a presence of peace and understanding. The body then produces antibodies to fight the antigen, WBC destroy antigen cells. Which of the following clients should the nurse place in the same room with this child? ​Ask the client to push their feet against the nurse's palms. Lickerman, A 2010. Remember: time and place. Remember to not stray from your scope of practice.

One of the most important communication skills is the ability to stop and listen actively and ethically, to what is being said by the other person. Food and fluid charts are a vital way of assessing patients’ nutritional status. Introduction. When the patient has had enough of the main course, offer dessert in the same way. Crossing your arms sends a message that you are closed off, uninterested or confrontational. As with most communication, careful listening, as well as showing your patient you are listening through positive body language, will serve you well in talking to children patients. allnurses.com, INC, 7900 International Drive #300, Bloomington MN 55425 Nursing Times [online]; 113, 11, 23-25. Instead, it should be used to help alleviate a patient’s distress. Nosocomial infections are hospital-inquired infections. Patient deterioration and sepsis can happen quickly, and without early recognition can…, Please remember that the submission of any material is governed by our, EMAP Publishing Limited Company number 7880758 (England & Wales) Registered address: 7th Floor, Vantage London, Great West Road, Brentford, United Kingdom, TW8 9AG, We use cookies to personalize and improve your experience on our site. It is important for a nurse to take a step back from the patient who is angry and ask themselves what is really going on. A nurse is caring for a client who has alcohol use disorder and is receiving treatment for alcohol withdrawal. The nurse should expect the parents to experience which of the following stages of grief first? Offer the patient a chance to clean their teeth and dentures or if this is not possible, perform mouth care. You might get told you are too quick to send someone out but better to explain your reasoning for sending to your boss then to TRY to explain a delay in treatment to a DPH surveyor or irate family member. "Getting a bath helps to remove the bacteria from your skin, which is what is causing the rash on your buttocks.". This level of prevention aims for early detection of a disease that already exists. One of the most important considerations when communication with older adults is allowing them time. The following diagrams illustrate four different interpersonal distances (Hall 1966): Public distance: for public address, formal, for larger audiences. When you go home, you need to leave the sadness and emotion of the job at work. 73-8, viewed 13 March 2018. Families may have the best intentions, but the patient’s rights always come first. A nurse is admitting a client who has pulmonary tuberculosis and a productive cough.

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