The nurse has presented a teaching session on pain relief options to a prenatal class. Which client statement indicates that additional teaching is needed?
1. "An epidural can be continuous or one dose."
2. "General anesthesia is usually recommended for a cesarean section."
3. "Narcotics can be given through a client's epidural infusion catheter."
4. "A pudendal block usually works well to control pain during episiotomy repair."
2
Explanation:
1. Epidural anesthesia can be administered in a single dose or via continuous infusion.
2. Compared to general anesthesia, spinal anesthesia is usually the anesthetic of choice indicated in the management of clients undergoing cesarean section.
3. To provide analgesia for approximately 24 hours after the birth, the analgesia provider may inject an opioid, such as morphine sulfate (Duramorph) or fentanyl (Sublimaze), into the epidural space immediately after the birth.
4. A pudendal block technique is used in the second stage of labor for the provision of perineal anesthesia for the latter part of the first stage of labor, the second stage, birth, and episiotomy repair.
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The large, heavy, and older adult patient, post stroke, develops an infected decubitus on the sacrum during the hospital stay. When the patient goes home, about 2 weeks later, the pa-tient returns to the hospital with pneumonia
The distinction between these two infections is which of the following? 1. The decubitus infection was transmitted from other patients on the unit, but the pneumonia was transmitted from a neighbor visiting when the patient was at home. 2. The decubitus and pneumonia are caused by the same host. 3. The decubitus is termed nosocomial and the pneumonia is termed communi-ty-acquired. 4. The decubitus is considered to be caused by protozoa, whereas the pneumonia is termed unpreventable because of the size of the patient.
A school-age child has been bitten on the leg by a large snake that may be poisonous. During transport to an emergency facility, what should the care include?
a. Apply ice to the snakebite. b. Immobilize the leg with a splint. c. Place a loose tourniquet distal to the bite. d. Apply warm compresses to the snakebite.
A baby is born with ambiguous genitalia. When discussing this with her parents, you could accurately assure them that
A) all children with ambiguous genitalia are chromosomally female. B) ambiguous genitalia will develop fully with estrogen therapy. C) ambiguous genitalia result from hypothalamus stimulation. D) their child's true sex can be determined by a genetic karyotype.
A nurse is implementing an intervention at both the primary and tertiary levels of prevention. Which of the following best describes the nursing intervention?
a. Providing emergency shelter housing b. Offering physical and mental health ser-vices c. Developing a targeted case management program d. Establishing a needle exchange program