A nurse is providing teaching to a client who has a prescription for heat therapy for treatment of cellulitis of the right lower leg. Which of the following client statements indicates an understanding of the teaching?
"I'll keep a heating pad on the calf of my right leg when I am lying down."
"I'll wrap a warm, wet towel around my right calf every 4 hours."
"I'll place my leg under a heat lamp every 3 hours."
"I will sit on the side of the tub and soak my right leg two times every day."
The Correct Answer is B
Rationale:
A. Keeping a heating pad on the leg for extended periods can lead to burns or skin damage. Heat therapy should be applied intermittently with breaks to prevent overheating.
B. Wrapping a warm, wet towel and applying it intermittently is appropriate for localized heat therapy and can help reduce inflammation and promote healing.
C. Using a heat lamp may not provide consistent or controlled heat application and is not the standard approach for treating cellulitis.
D. Soaking the leg in a tub is not recommended as it may introduce bacteria and potentially worsen the infection.
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Correct Answer is A
Explanation
Rationale:
A. The psychiatric pharmacist specializes in the management of medications for clients with mental health conditions and would be the most knowledgeable about potential interactions between psychiatric and diabetes medications.
B. A laboratory technician focuses on conducting lab tests and would not be the appropriate team member to consult regarding medication interactions.
C. While the primary provider oversees the overall care of the client, the psychiatric pharmacist is specifically trained to handle questions about medication interactions, making them the best resource in this scenario.
D. A psychologist typically addresses therapeutic interventions and behavioral therapies, not medication management, making them less suited to answer questions about drug interactions.
Correct Answer is D
Explanation
Rationale:
A. Beneficence refers to actions that promote the well-being of others, which is not the primary focus of this scenario.
B. Nonmaleficence involves the duty to do no harm, which is important in all nursing actions but is not specifically demonstrated here.
C. Justice involves fairness and equality in providing care, which is not the central ethical principle in this context.
D. Autonomy refers to respecting a client's right to make their own decisions. By asking the client to choose between morning or afternoon group therapy, the nurse is supporting the client's autonomy by allowing them to make decisions about their care.