Which physical assessment findings would the nurse consider normal for the postpartum client following a vaginal delivery? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Elevated blood pressure
2. Fundus firm and midline
3. Moderate amount of lochia serosa
4. Edema and bruising of perineum
5. Inflamed hemorrhoids
2, 4
Explanation: 2. A firm fundus that is midline indicates the normal progression of uterine involution.
4. During the early postpartum period, the soft tissue in and around the perineum may appear edematous with some bruising.
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While reviewing the following diagnostic findings on a group of patients with joint complaints, which finding would be a priority for further investigation and possible medical intervention?
A) A male client has elevated levels of serum uric acid but lacks symptoms. B) Synovial fluid aspiration indicates the presence of monosodium urate crystals. C) A man reveals that he eats organ meat two to three times weekly. D) A 55-year-old male reveals that it takes a day or two for oral colchicines to relive his attacks of gout.
The nurse is caring for a patient who has just had a radical mastectomy and axillary node dissection. When providing patient education regarding rehabilitation, what should the nurse recommend?
A) Avoid exercise of the arm for next 2 months. B) Keep cuticles clipped neatly. C) Avoid lifting objects heavier than 10 pounds. D) Use a sling until healing is complete.
Benzonatate (Tessalon) should be chewed thoroughly before swallowing
Indicate whether the statement is true or false.
Upon changing the client's dressing, the nurse notes that the wound appears to be granulating. An appropriate noncytotoxic cleansing agent selected by the nurse is:
1. Sterile saline 2. Hydrogen peroxide 3. Povidone-iodine (Betadine) 4. Sodium hypochlorite (Dakin's solution)