During a postpartum assessment, the nurse examines the woman's perineum for which sign(s) or symptom(s)? (Select all that apply.)
a. Redness
b. Ecchymosis
c. Discharge
d. Tenderness
e. Approximation
f. Tightness
ANS: A, B, C, E
If an episiotomy was done or a laceration occurred during delivery, the state of healing is assessed by the REEDA (redness, edema, ecchymosis, discharge, approximation) scale.
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A nurse working with a single, Asian American college student tells a colleague, "The patient has very poor eye contact. No matter what strategies I use, this patient will not look at me."
Which explanation(s) would be likely reasons for this patient's behavior? In some Asian cultures: (Select all that apply.) a. a strong cultural injunction exists against using assertive communication measures. b. looking directly at a person of the opposite sex indicates sexual interest. c. looking down signifies deference to authority. d. a close personal space is therapeutic. e. trancelike syndromes are common.
A student nurse is out shopping when he or she hears that a mass casualty event (MCE) has occurred in the area. It is his or her responsibility as a student and as a nurse to
1. Know and follow his or her facility's disaster plan. 2. Immediately return to his or her place of work. 3. Go to the scene and begin treating the victims who are most likely to survive. 4. Call the Department of Health and Human Services for instructions.
A client with bipolar disorder, having experienced a depressive episode, is prescribed lamotrigine. After educating the client on this medication, the nurse determines that the education was successful when the client states which of the following?
A) "I need to notify my physician if I develop a skin rash." B) "I need to have my blood tested about once a month." C) "I have to watch how much salt I use every day." D) "This drug can affect my liver function."
Which task related to diagnostic testing of chronic pancreatitis can be delegated to the unlicensed assistive personnel (UAP)?
A. Ensuring the patient's NPO status before endoscopic retrograde cholangiopancreatography B. Transporting the patient's blood sample to the laboratory for a Helicobacter pylori antibody test C. Saving the patient's stool specimen from the bedpan or commode and observe for steatorrhea D. Assisting the patient to remove metallic objects in preparation for magnetic resonance imaging