On the first postpartum day, the nurse teaches the client about breastfeeding. Two hours later, the client seems to remember very little of the teaching. The nurse understands this memory lapse to be due to:
1. The taking-hold phase.
2. Postpartum hemorrhage.
3. The taking-in phase.
4. Epidural anesthesia.
3
Rationale:
1. The taking-hold phase occurs by the second or third day, when the mother is ready to resume control of life and is open to teaching.
2. Postpartum hemorrhage is a serious complication, and will need medical intervention.
3. The taking-in phase, which occurs during the first day or two following birth, is characterized by a passive and dependent affect. The mother also might be in need of food and rest.
4. Epidural anesthesia is a pharmacologic approach to pain control.
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The nurse planning to conduct a qualitative research study should have which understanding about ethical issues in naturalistic settings?
a. It is not possible to obtain informed consent from study participants. b. The emerging nature of the research design may require ongoing negotiation of consent. c. The researcher-participant interaction is intentionally therapeutic in nature. d. Validation of data by cross-checking research findings with participants taints the study.
The nurse is assessing a client with a salivary gland tumor for facial nerve involvement. Which movements does the nurse ask the client to perform? (Select all that apply.)
a. Open the mouth wide. b. Raise the eyebrows. c. Smile or frown. d. Pucker the lips. e. Blow the nose. f. Puff out the cheeks.
The nurse is caring for a 14-year-old client with diabetes mellitus. The client does not want to self-administer insulin because it is too painful. Which should the nurse use in response to the client?
1. Adolescents are usually enthusiastic about self-care. 2. Insulin mixed with a local anesthetic decreases pain. 3. The provider orders oral insulin for clients with pain. 4. Injections with small needles cause some clients pain.
A patient is unconscious. You need to assume that the person can:
a. Hear you b. See you c. Respond to you d. Smell