The client having her second child is scheduled for a cesarean birth because the baby is in a breech presentation. The client states, "I'm wondering what will be different this time compared with my first birth, which was vaginal
" What response is best? 1. "We'll take good care of you and your baby. You'll be home before you know it."
2. "You'll be wearing long stockings to prevent blood clots from forming in your legs."
3. "You will have a lot of pain, but there are medications that we give when it gets bad."
4. "You won't be able to nurse until the baby is 12 hours old, because of your epidural."
2
Rationale:
1. This response focuses on the nurse, and does not provide specific information to answer the client's question. This is a poor response.
2. Anti-embolism stockings are used until the client is up and walking to prevent thrombus formation.
3. Focusing on the pain is a negative emphasis. In addition, pain medications work best when they are taken as the pain is intensifying; medication should not be delayed until the pain is severe, as less relief will be obtained.
4. Epidural anesthesia prevents leg function, and therefore ambulation, but does not impact a mother's ability to breastfeed. She might need some assistance with positioning the infant due to bedrest, but should be encouraged to breastfeed as soon as possible.
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The nurse is preparing a flyer on rheumatoid arthritis (RA) for distribution during a community health fair
Which information should the nurse include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Rheumatoid arthritis typically affects weight-bearing joints. 2. Onset generally occurs between 20 and 40 years of age. 3. Rheumatoid arthritis is the most common form of arthritis. 4. Women are more likely to be affected than men. 5. Rheumatoid arthritis appears to have a genetic component.
A patient who is diagnosed with shingles is
taking topical acyclovir, and the nurse is providing instructions about adverse effects. The nurse will discuss which adverse effects of topical acyclovir therapy? a. Insomnia and nervousness b. Temporary swelling and rash c. Burning when applied d. This medication has no adverse effects.
Which of the following are examples of objective data? (Select all that apply)
a. A patient has an offensive body odor. b. A patient complains of feeling stressed. c. A patient complains of feeling anxious. d. A patient complains of substernal chest pain. e. A patient falls when ambulating to the bathroom. f. A patient states, "I feel a sense of impending doom."
The JCAHO standards of care for pain management apply to all clinical settings, including psychiatric–mental health settings. The primary goal of pain management is to do what?
A) Eliminate all causes of pain for the client. B) Educate the client about reasons for pain. C) Medicate the client until the pain is manageable. D) Reduce or eliminate pain, or make it more manageable.