During a postpartum assessment, the nurse notes a bluish discoloration and numbness of the woman's episiotomy. The most appropriate nursing action is to:
a. Notify the health care provider.
b. Document the findings as normal.
c. Prepare the woman for a sitz bath.
d. Reassure the woman that this is normal healing.
ANS: A
Blue discoloration and numbness of the episiotomy edges may be indicative of necrotizing fasciitis, a potentially life-threatening wound infection. The health care provider must be notified immediately so appropriate treatment can be instituted.
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A nurse is counseling a patient on disease prevention for a condition seen often in the patient's family history. Which instruction would the nurse be most likely to include in the patient's teaching?
a. "Fresh fruits and vegetables have healthy nutrients." b. "Sleep deprivation has some very harmful effects." c. "Stress can be reduced through many different methods." d. "You should limit red meat to three servings a week."
The nurse is preparing to assess the client's respiratory system. Rank in order according to how the nurse should proceed
Select the correct choice from the list. Response 1. Auscultation. Response 2. Inspection. Response 3. Percussion. Response 4. Client survey. Response 5. Palpation.
The nurse is assessing a preterm newborn who is in the neonatal intensive care unit (NICU) for signs and symptoms of overstimulation. Which of the following would the nurse be least likely to assess?
A) Increased respirations B) Flaying hands C) Periods of apnea D) Decreased heart rate
Write the whole number 50 as a fraction that equals 1
What will be an ideal response?