A nurse is contributing to the plan of care for clients who have rheumatoid arthritis. Which of the following plans incorporates integrative health?
Provide massage therapy and corticosteroid medications to clients.
Monitor C-reactive protein and joint x-rays on clients.
Offer nonsteroidal anti-inflammatory medications and occupational therapy to clients.
Request a referral for surgery and physical therapy for clients.
The Correct Answer is A
A. This plan incorporates both a complementary therapy (massage therapy) and a conventional treatment (corticosteroid medications). This combination aligns well with integrative health principles, as it aims to manage pain and improve well-being through both physical and pharmacological means.
B. This option focuses solely on conventional medical assessments. While monitoring these parameters is essential for managing rheumatoid arthritis, it does not incorporate any complementary or integrative health strategies. It is more about evaluating the disease process than addressing holistic care.
C. This option combines conventional medication with occupational therapy, which can be considered a supportive, rehabilitative approach. However, it does not include complementary therapies, which are often a key component of integrative health practices.
D. This plan emphasizes surgical and physical therapy interventions, which are conventional treatments. While physical therapy can be beneficial, this option does not include complementary therapies, making it less aligned with integrative health principles.
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Related Questions
Correct Answer is D
Explanation
A. This action is not appropriate as it could stimulate the gag reflex and lead to choking or aspiration. It does not contribute to effective oral care. Instead, gentle techniques using appropriate tools should be used to clean the mouth.
B. Holding the toothbrush at a 90° angle can be effective for brushing teeth as it allows for better access to the surfaces of the teeth. However, for an unconscious patient, this angle might not be practical or safe depending on the circumstances.
C. Vigorous brushing is not recommended, especially for an unconscious client. It could cause damage to the gums, lead to discomfort, or risk aspiration of fluids. Gentle brushing is advised to clean the teeth and gums without causing injury.
D. Turning the client to the side helps prevent aspiration of saliva or any fluids that may be in the mouth. It also provides better access for oral care and minimizes the risk of choking. This position is often recommended for unconscious patients to maintain their safety during oral care.
Correct Answer is D
Explanation
A. While changes in vital signs, such as increased heart rate and blood pressure, may indicate pain, they are not specific to pain and can be influenced by other factors.
B. The type of surgery can provide some clues about the potential for pain, but it does not accurately reflect the individual's pain experience.
C. Nonverbal cues like grimacing, guarding, or restlessness can suggest pain, but they are not always reliable indicators. Some clients may not exhibit obvious signs of pain, even if they are experiencing significant discomfort.
D. This is the most reliable source of information about a client's pain intensity. Only the client can accurately describe their own pain experience, including its location, severity, and quality.
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