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. Cognitive behavioral therapy (CBT) is a noninvasive, evidence-based treatment for depression. It helps clients identify and change negative thought patterns and behaviors that contribute to their depression.
B. Deep-brain stimulation is an invasive procedure used for treatment-resistant depression and other neurological conditions.
C. Electroconvulsive therapy (ECT) is a noninvasive but more intensive treatment often used for severe or treatment-resistant depression. However, it is generally not the first line of treatment.
D. Vagal nerve stimulation is a more invasive treatment, typically reserved for cases where other treatments have failed.
Correct Answer is C
Explanation
Rationale:
A. Reporting the incident to other RNs on the shift does not ensure that the appropriate actions will be taken to address the issue.
B. Agreeing not to report the incident in exchange for the coworker seeking treatment is unethical and does not follow the correct reporting protocol.
C. Reporting the incident to the appropriate person in the chain of communication, such as a supervisor or nurse manager, is the correct course of action. This ensures that the situation is handled according to hospital policy and legal requirements, protecting patient safety and addressing the coworker's substance use disorder.
D. Agreeing not to report the incident if the coworker promises to report themselves is also unethical and fails to meet professional responsibilities.