A nurse is assigned to perform vaginal irrigation on a client. What step should be
followed when performing the procedure?
A) Place the client in Fowler's position for the procedure
B) Place the irrigating bag 20 inches above the client's hip level
C) Separate the labia and gently insert the douche nozzle
D) Release the clamp to let air out after inserting the nozzle
C
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The nurse is providing education to a client who will be having a hypophysectomy. What should the nurse be sure to include to preventing complications?
A) Lay in the supine flat position to avoid an increase in intracranial pressure. B) Avoid drinking from a straw, sneezing, coughing, and bending over. C) When the packing is removed, you may blow your nose to clear the clot. D) Brush teeth with a firm bristle toothbrush.
A patient comes into the emergency department with complaints of an erection that has lasted for more than four hours. What should the nurse include in the patient's assessment?
1. prescribed medications 2. substance abuse 3. blood pressure 4. number of sexual partners
The client delivered vaginally two hours ago after receiving an epidural analgesia. She has a slight tingling sensation in both lower extremities but normal movement. She sustained a second degree perineal laceration
Her perineum is edematous and ecchymotic. What should the nurse include in the plan of care for this client? A. Assist client to the bathroom in two hours to void. B. Place a Foley catheter now. C. Apply warm packs to perineum three times a day. D. Allow client to rest for the next eight hours.
The nurse is teaching the parents of a newborn diagnosed with atrial septal defect the etiology of this disorder. Which of the following statements accurately describes this condition?
A) "Your baby's ductus arteriosus in the heart failed to close at birth." B) "There are abnormal openings between your baby's heart chambers." C) "Four major heart defects have occurred simultaneously in your baby's heart." D) "Your baby's aorta narrows as it leaves the heart."