The client has delivered a 4,200g fetus. The physician performed a midline episiotomy, which extended into a third-degree laceration. The client asks the nurse where she tore. Which response is best? "The episiotomy extended and tore:
1. "Through your rectal mucosa."
2. "Up near your urethra."
3. "Into the muscle layer."
4. "Through your rectal sphincter."
4
Rationale:
1. A fourth-degree laceration is through the rectal mucosa.
2. A periurethral laceration is near the urethra.
3. A first-degree laceration involves only the skin. A second-degree laceration involves skin and muscle.
4. A third-degree laceration includes the rectal sphincter.
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The complexity of the healthcare environment for consumers is increased by:
a. Falling levels of education among the public. b. Increased levels of poverty. c. Complex compensatory systems and a va-riety of delivery systems. d. Increased numbers of uninsured or unde-rinsured.
The school nurse is planning a smoking prevention program for middle school students. Which is most likely to be effective in preventing middle school children from smoking?
1. Having a local high school basketball star come to talk to the students about the importance of not smoking 2. Having the school's biology teacher demonstrate the pathophysiology of the effects of smoking tobacco on the body 3. Developing colorful posters with catchy slogans, and placing them all over the school 4. Having a pledge campaign with prizes awarded, during which students sign contracts saying that they will not use tobacco products
Because the client is receiving a diuretic, the nurse closely monitors laboratory levels of which electrolyte?
What will be an ideal response?
Why do not all public health agencies provide nursing home visits for new mothers and babies?
a. It is too difficult to get the names and addresses of new mothers from the hospitals. b. New mothers are too overwhelmed to have another visitor in their homes. c. Physicians prefer to do the education with new mothers in their offices. d. Private third-party payers will not reimburse such a primary health promotion effort.