The nurse is at the home of a postpartum client for an initial assessment. The client gave birth by cesarean section 1 week earlier
Which statements should the nurse include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Because you had a cesarean, I'd like to assess your incision."
2. "You aren't having any problems nursing, right?"
3. "How rested do you feel since you came home?"
4. "Because you are bottle-feeding, I won't assess your breasts."
5. "You should remain at home for the first 3 weeks after delivery."
1, 3
Explanation: 1. The nurse should assess the cesarean incision.
3. The nurse should talk with the mother about her fatigue level and ability to rest and sleep.
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The nurse determines that the student who has been instructed about lung function and smoking requires additional teaching when the student says
A) "A physically fit athlete breathes more slowly than a sedentary person." B) "Smoking only once in a while will not make a person addicted to smoking." C) "An older person may breathe more shallowly than a younger person." D) "An upright position will help someone breathe with less effort."
A nurse admits a patient to the unit after completing a comprehensive interview and physical examination. To develop a nursing diagnosis, the nurse must now:
a. Analyze the assessment data b. Consult standards of care c. Decide which interventions are appropriate d. Ask for the client's perceptions of her health problem
When answering the phone, you should
A) identify the unit, yourself, and your title. B) take orders from the physician. C) yell down the hall to locate the person being called. D) tell the caller to call back later.
Breast self-examination should be
A) performed at least annually. B) done on the last day of the menstrual cycle. C) performed only after a positive mammogram. D) done weekly in the shower.