A postpartum patient is diagnosed with a vaginal laceration. What intervention will the nurse provide to the patient at this time?
A) Monitor vital signs every 30 minutes.
B) Insert an indwelling urinary catheter.
C) Provide stool softeners as prescribed.
D) Weigh vaginal packing to estimate blood loss.
B
Feedback:
An indwelling urinary catheter may be placed following a vaginal repair because the packing causes such pressure on the urethra it can interfere with voiding. Vital signs do not need to be monitored every 30 minutes. Stool softeners are not indicated for this type of laceration. The packing is not removed for 24 to 48 hours.
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When the nurse is alone with a battered patient, the patient seems extremely anxious and says, "It was all my fault. The house was so messy when he got home and I know he hates that." The best response by the nurse is
a. "No one deserves to be hurt. It's not your fault. How can I help you?" b. "What else do you do that makes him angry enough to hurt you?" c. "He will never find out what we talk about. Don't worry. We're here to help you." d. "You have to remember that he is frustrated and angry so he takes it out on you."
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Fill in the blank(s) with the appropriate word(s).
When a client is routinely taking NSAIDS, a nurse may suggest a Guaiac stool test be ordered. Why would the nurse feel this is necessary?
A. To monitor excessive diarrhea B. To monitor for GI bleeding C. To monitor for clostridium difficile (c. diff)