The nurse is reviewing instructions for a patient recovering from a D&C. What should the nurse emphasize when teaching this patient?
Select all that apply.
1. Avoid heavy lifting for several days.
2. Avoid using tampons for 2 weeks.
3. Rest for several days after the procedure.
4. Expect the next menstrual period to be early.
5. Expect vaginal bleeding to be bright red and very heavy.
Correct Answer: 1, 2, 3
The patient should be instructed to avoid heavy lifting, which can interfere with healing and cause a hemorrhage; to avoid tampons for 2 weeks to reduce the risk of infection and allow tissue to heal; and to rest for several days after the procedure to promote tissue healing. The onset of the next menstrual period may be delayed because the surgical procedure removes the endometrial lining. Bright red bleeding that exceeds that of a normal menstrual period should be reported as it may indicate hemorrhage.
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The nurse arrives at a patient's home for a visit and sees
one of the small children chewing several pieces of something white. The child is also drooling and crying and a container that looks like an empty pill bottle is on the floor. What should the nurse do first? A) Call 911 for emergency help B) Ask the poison control center about an antidote C) Give the child syrup of ipecac to induce vomiting D) Remove the substance from the child's mouth
A patient, being treated for a gastrointestinal bleed, has the following assessment findings: temperature 97.2°F, blood pressure 99/70 mm Hg, heart rate 74 bpm, capillary refill of 3 seconds, and oxygen saturation 94%
Four hours later the nurse identifies changes in the patient's condition. Which changes are associated with complications from management of the condition? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Temperature 98.2°F 2. Heart rate 98 bpm 3. Oxygen saturation 85% 4. Capillary refill of 2 seconds 5. Rales auscultated bilateral bases
Horizontal conflict in the workplace is observed with which of the following situations?
a. Discussion with the manager before esca-lation occurs b. Refusing to work on day off c. Sharing views on patient care d. Withholding information that will under-mine the ability to perform his job