A nurse is formulating a care plan for a patient recovering from severe burns.
Which of the following strategies should the nurse incorporate to provide emotional support?

Engage in conversation with the patient during wound care.

Ensure the patient’s room is kept tidy by support staff.

Keep the patient’s family informed about his condition.

Rotate the nursing staff to provide the patient with varied interactions.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Engaging in conversation with the patient during wound care can provide emotional support by distracting the patient from the pain and discomfort associated with the procedure. It also helps to build a therapeutic relationship, which is crucial in the healing process.

Choice B rationale

While ensuring the patient’s room is kept tidy by support staff is important for maintaining a clean and safe environment, it does not directly provide emotional support to the patient.

Choice C rationale

Keeping the patient’s family informed about his condition can provide reassurance and reduce anxiety, but it does not directly provide emotional support to the patient.

Choice D rationale

Rotating the nursing staff can provide the patient with varied interactions, but it may not necessarily provide emotional support. Consistency in care providers can often be more beneficial in building trust and rapport.

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Correct Answer is B

Explanation

Choice A rationale

Polycystic ovarian syndrome is a hormonal disorder common among women of reproductive age. While it can lead to several complications, it does not significantly increase the risk of sepsis.

Choice B rationale

Cancer and certain treatments for cancer can weaken the immune system, increasing the risk of infections that could lead to sepsis.

Choice C rationale

Kallmann’s syndrome is a genetic condition that affects the production of a hormone involved in sexual development. It does not significantly increase the risk of sepsis.

Choice D rationale

Addison’s disease affects the adrenal glands and can disrupt the balance of hormones in the body, but it does not significantly increase the risk of sepsis.

A. Lubricate the suction catheter tip with sterile saline B. Hyperventilate the patient on 100% oxygen prior to suctioning C. Perform chest physiotherapy prior to suctioning D. Suction two to three times with a 60-second pause between passes

Correct Answer is D

Explanation

Choice A rationale

Lubricating the suction catheter tip with sterile saline is not recommended because it can introduce bacteria into the tracheostomy tube and cause infection.

Choice B rationale

Hyperventilating the patient on 100% oxygen prior to suctioning is not necessary and can cause complications such as oxygen toxicity.

Choice C rationale

Performing chest physiotherapy prior to suctioning is not typically done during tracheostomy care. Chest physiotherapy is a separate procedure that involves physical techniques to remove mucus from the respiratory tract.

Choice D rationale

Suctioning two to three times with a 60-second pause between passes is the correct action. This helps to remove secretions effectively without causing hypoxia.

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A nurse is formulating a care plan for a patient recovering from severe burns.Which of the following strategies should the nurse incorporate to provide emotional support?

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A nurse is formulating a care plan for a patient recovering from severe burns.
Which of the following strategies should the nurse incorporate to provide emotional support?