The postpartum nurse is aware that following birth, there is an increased risk of perineal infection related to:
Select all answers that apply:
A) Urinary retention
B) Impaired tissue integrity
C) Drainage of blood and lochia
D) The anatomical proximity to the anus
B, C, D
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Why should a nurse introduce the matter of a contract during the first session with a new patient? Contracts:
a. specify what the nurse will do for the patient. b. spell out participation and responsibilities of both parties. c. are indicative of the feeling tone established between the participants. d. are binding and prevent either party from prematurely ending the relationship.
Ms. Galvan is a 22-year-old secretary who comes to the clinic with headaches of 6 weeks' duration. She tells the office assistant about her heavy schedule, including part-time work and evening classes. Her vital signs are normal
Which information is most appropriate to Ms. Gal-van's history? a. Current medications b. Elimination patterns c. Immunization status d. Previous pregnancies
A patient is inappropriate when speaking to a UAP. What is the most appropriate action by the nurse?
a. Change the assignment. b. Ask the UAP what they did to precipitate this. c. Explain to the patient how what they say is being interpreted. d. Complain to the physician.
The ICU nurse caring for a patient at the end of life understands that "limitation" of care refers to a decision:
1. To stop all measures, including pain medication 2. To exclude all but immediate family members from the patient's room 3. Not to initiate one or more interventions 4. To stop one or more therapies after they had been initiated