The postpartum patient is about to go home. The nurse includes which subject in the teaching plan?
1. Puerperal tachycardia
2. Striae and chloasma
3. Diastasis of the recti muscles
4. HELLP syndrome
3
Rationale 1: Puerperal tachycardia might indicate a complication because pulse rates normally slow after birth; therefore, this is something for which the nurse assesses, and not something that is taught to the patient at discharge.
Rationale 2: Striae and chloasma are normal skin changes in the pregnant woman.
Rationale 3: Diastasis recti abdominis can be improved with abdominal tightening exercises, best taught when the mother is receptive to instruction during the postpartum assessment.
Rationale 4: HELLP syndrome is a medical condition based on abnormal lab values.
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The hospice nurse is caring for a terminally ill patient who will probably die within the next hour or two. The patient's daughter is keeping a vigil by the bedside and asks what she can do to help her father at this time. What is the appropriate response
a. "Just let him know you are here, talk to him, and let him know that you love him." b. "You can try to feed him a few bites of ice cream to keep his mouth from getting dry." c. "You can take this time to ensure that arrangements are set with the funeral home." d. "You should let me know when your father's breathing pattern changes."
An older adult complains of xerostomia. Which of the following interventions should the nurse implement for this patient? (Select all that apply.)
a. Encourage the patient to brush and floss teeth regularly. b. Encourage the patient to have regular dental screenings. c. Provide antiseptic mouthwash (e.g., Lis-terine) for the patient. d. Encourage adequate intake of water. e. Provide saliva substitutes.
Your patient has had a myocardial infarction and has been diagnosed as having damage to the layer of the heart responsible for the pumping action. You are aware that the damage occurred where?
A) Endocardium B) Pericardium C) Myocardium D) Visceral pericardium
When preparing to discharge an older patient with mild dysphagia, the nurse suggests that the patient can minimize symptoms by
a. eating small meals every 2 to 3 hours b. cutting a sandwich into bite-sized peicees. c. eating less but choosing nutrient-dense foods. d. drinking thin liquids instead of eating sol-ids.