Asked by Joslin Jefferson on Jun 06, 2024
Verified
A nursing assistive personnel (NAP) is providing AM care to patients. Which action by the NAP will require the nurse to intervene?
A) Not offering a backrub to a patient with fractured ribs
B) Not offering to wash the hair of a patient with neck trauma
C) Turning off the television while giving a backrub to the patient
D) Turning patient's head with neck injury to side when giving oral care
Fractured Ribs
Breaks or cracks in the rib bones, often caused by trauma, which can lead to significant pain and difficulty breathing.
Neck Trauma
Physical injury to the neck area, which can involve muscles, bones, nerves, or vessels, and may result in significant harm or medical conditions.
Backrub
A massage or gentle rubbing of the back for relaxation, relieving tension or pain.
- Comprehend the suitable procedures for administering patient hygiene tasks pertinent to different health ailments.
Verified Answer
PC
Ponpawee ChirakunrungkiattiJun 13, 2024
Final Answer :
D
Explanation :
The nurse must intervene if the NAP turns the patient's head with a neck injury; this is contraindicated and must be stopped to prevent further injury. All the other actions are appropriate and do not need follow-up. Consult the medical record for any contraindications to a massage (e.g., fractured ribs, burns, and heart surgery). Before washing a patient's hair, determine that there are no contraindications to procedure (e.g., neck injury). When providing a backrub, enhance relaxation by reducing noise (turning off the television) and ensuring that the patient is comfortable.
Learning Objectives
- Comprehend the suitable procedures for administering patient hygiene tasks pertinent to different health ailments.