The nurse is planning care for a client who had a cesarean birth four hours ago. Which of the following should be included in this client's plan of care? (Select all that apply.)
1. Administer analgesics as prescribed.
2. Encourage to ambulate to the bathroom to void.
3. Encourage leg exercises every 2 hours.
4. Encourage deep breathing and coughing every 2 to 4 hours.
5. Encourage the use of breathing, relaxation, and distraction.
1. Administer analgesics as prescribed.
3. Encourage leg exercises every two hours.
4. Encourage deep breathing and coughing every 2 to 4 hours.
5. Encourage the use of breathing, relaxation, and distraction.
Rationale:
Administering analgesics as prescribed, encouraging leg exercises every 2 hours, encouraging deep breathing and coughing every 2 to 4 hours, and encouraging the use of breathing, relaxation, and distraction all address the client's nursing care needs, which are similar to those of other surgical clients. Encouraging the client to ambulate to the bathroom to void might be an intervention done on the first or second day postpartum, but not in the first four hours.
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Training schools for nurses were established in the United States after the Civil War. The standards of US schools deviated from those of Nightingale paradigm
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