The patient, age 56, is a mother of nine children. She undergoes an anterior and posterior colporrhaphy for repair of a cystocele and rectocele. On her return from the postanesthesia care unit, the nurse would expect which finding on assessment?
a. Gauze vaginal packing
b. Rectal tube
c. Perineal dressings
d. Indwelling catheter
D
A retention catheter is usually inserted into the bladder to keep it empty and prevent pressure on sutures.
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A preschool child diagnosed with autistic spectrum disorder has been engaging in constant head-banging behavior. Which nursing intervention is appropriate?
1. Place client in restraints until the aggression subsides. 2. Sedate the client with neuroleptic medications. 3. Hold client's head steady and apply a helmet. 4. Distract the client with a variety of games and puzzles.
You say to your adolescent client, "Let me review the steps for coughing and deep-breathing exercises." This is an example of which type of therapeutic communication technique?
1. presenting reality 2. summarizing 3. restating 4. focusing
What type of seizure disorder is she most likely to have?
A 7-year-old child is brought to your clinic by her mother. The mother states that her daughter is doing poorly in school because she has some kind of “ADD” (attention deficit disorder). You ask the mother what makes her think the child has ADD. The mother tells you that both at home and at school her daughter will just zone out for several seconds and lick her lips. She states it happens at least four to six times an hour. She says this has been happening for about a year. After several seconds of lip-licking her daughter seems normal again. She states her daughter has been generally healthy with just normal childhood colds and ear infections. The patient's parents are both healthy and no other family members have had these symptoms. A) Generalized tonic–clonic seizure B) Generalized absence seizure C) Simple partial seizure (Jacksonian) D) Complex partial seizure
A client with otosclerosis would have a __________ hearing loss
1. Conductive 2. Mixed 3. Sensorineural 4. Cochlear