Nursing Practices

 

• Define anterior, posterior, lateral, medial, superior, inferior, PRONE, supine (related to body positions)

Anterior: this is the view seen from the front side of the body nearing the front side

Posterior: this is the view from the back side of the body nearing the back side of the body. Lateral: this is a side view viewed farther from the body midline.

Medial: this is the view nearing the body to midline; it is viewed from the side.

Superior: this is the view of the body when viewed from the upper part of the structure toward the head.

Inferior: this view is seen from the lower part of the structure away from the head.

PRONE: this is the positioning of the body where the interior surface faces downwards in a horizontal view.

Supine: this is the positioning of the body where the interior surface faces upwards in a horizontal view.

• Explain how to manage a hyperthermic blanket on a patient.

            Start explaining to the patient what you intend to do in case he or she is not unconscious. Place a bath blanket beneath the hyperthermia or hypothermia blanket to prevent direct contact with the skin. This is in particular utilized mostly when the process is for warming the body as the temperature may burn the skin. During the process it is important to keep checking patient’s temperature (Dumville et al., 2013). In any case, the monitor in the blanket does not measure body temperature; the use of the normal thermometer can be utilized. In the case of hyperthermia, the blanket is removed even before the body temperature is slightly above normal since the body will continue cooling afterward. Continue monitoring body temperature.  

• Explain how to clean a surgical wound.

            When cleaning surgical wound the following process is followed to prevent infections. Start by washing the wound gently with soup and water; this assists in removing the crust from the wound. Make sure not to scrub or soak the wound in water. Ensure not to utilize rubbing alcohol, hydrogen peroxide, or iodine as they are harmful to the tissue and slows down the healing process of the wound. After cleaning with water and soap air dry the incision or use a dry, fresh towel before dressing the wound with bandages.

• Explain how to irrigate a wound to prevent spread of infection

            Irrigating a wound simply is a steady flow of a solution across an open wound surface (Dumville et al., 2013). To irrigate a wound follows this simple process: First gently impart stable stream or irrigation solution into the open wound until the syringe empties. Ensure the solution flows from the clean part of the wound to the dirty part; this prevents contamination of would from dirty particles. Ensure that the irrigation solution reaches all parts of the wound.  

• What part of a nursing job description can never be delegated to a CNA or Unlicensed Aide

            The CNA being the personal assistance to the nurse have their duties in place. The nurse has limits on the duties that can delegate to the personal assistance without violating the nursing guidelines (Diana et al., 2017). Further from the minor assistance delegated by the nurse, the unlicensed aide cannot be delegated to perform any activities to patients whose status is unstable and which require assessment from the main nurse. For instance, the nurse cannot delegate actions that need advanced education to UAP such as deciding the type of medicine to be given to the patient or deciding on the type of test to be conducted in the laboratory.  

• How does a nurse manage dehiscence?

            Dehiscence is termed as a life threatening emergency, hence, requires an agent care and management. In this case, the nurse is supposed to manage by ensuring the effective measures are followed as follows: first, the nurse is supposed to ensure there is no infection; in case the dehiscence is infected the nurse is supposed to apply antibiotics. In prevention of further possible infections, the nurse is supposed to change wound dressing occasionally. The nurse is also supposed to ensure the wound is not covered at all times since exposing the wound to open air speeds up healing, prevents infection as well as allowing new tissues to growing from inside. Finally, the nurse is supposed to negatively pressure would therapy; this is wound therapy which is to pump that assists in speed healing.    

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reference

Diana, J. D., MBA, R., JD, P. D. B. M., & Grant, R. N. (2017). Law for Nurse Leaders. Springer Publishing Company.

Dumville, J. C., McFarlane, E., Edwards, P., Lipp, A., & Holmes, A. (2013). Preoperative skin    antiseptics for preventing surgical wound infections after clean surgery. Cochrane      Database of Systematic Reviews, (3).