A client past menopause undergoes an anterior-posterior colporrhaphy. What should the discharge teaching include?
a. Eating a high fiber diet
b. Limiting daily activities
c. Reporting signs of urinary retention
d. Observing for signs of a rectovaginal fistula
Answer: a. Eating a high fiber diet
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The patient will be transferred to the chair an hour after receiving pain medication. Which activity should the nurse delegate to nursing assistive personnel (NAP)?
a. Determine the patient's current pain level. b. Record the vital signs before ambulation. c. Position the gait belt around the patient. d. Place thick, warm socks on the patient.
The nurse is aware that an epidural hematoma warrants immediate intervention based on which criteria? (Select all that apply.)
a. An epidural hematoma is related to bleeding from arterial venous source. b. An epidural hematoma can increase intra-cranial pressure (ICP) quickly. c. An epidural hematoma changes overall condition quickly. d. An epidural hematoma can cause death. e. An epidural hematoma can cause irre-versible brain damage.
What would be the teaching priority for a diabetic patient being treated with a nonselective beta-blocker?
A) To take his own pulse B) To weigh himself once a week at the same time of day C) To avoid smoke-filled rooms D) To understand signs and symptoms of hypo- or hyperglycemic reaction
There is a chain of command in every facility where nurses are employed. Which of the following terms refers to that chain?
1. Administrative levels 2. Managerial chain 3. Chain of power 4. Administrative chain