The nurse administers a vaginal suppository. What information should the nurse include in patient teaching about postadministration care?
a. Use a tampon to hold the suppository in place.
b. Place a perineal pad in her underpants when getting up.
c. Expect a moderate localized burning and itching.
d. Remain in the semi-Fowler's position for 2 hours.
B
The nurse instructs the patient to place a perineal pad in her underpants because there will be a small amount of vaginal drainage after insertion of a suppository as the suppository melts. The nurse instructs the patient to avoid tampon use during the use of vaginal suppositories because the tampon absorbs the liquid, which decreases the effectiveness of the suppository. Burning and itching after administration of a vaginal suppository are unexpected. Remaining in semi-Fowler's position after vaginal suppository insertion is unnecessary but is better for retaining the vaginal medication than standing. It is not as effective as remaining in the supine position where gravity has no effect on the absorption rate.
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A patient who is being discharged after a liver transplant asks the nurse when she will be able to try to become pregnant. The nurse appropriately responds by stating:
A) "You will never have a period after a liver transplant and you will never be able to get pregnant." B) "You can consider trying to get pregnant now. Let's start you on prenatal vitamins today." C) "You should see a fertility specialist to discuss this topic." D) "Pregnancy can be considered after one year of transplantation, but it is considered a high-risk pregnancy and you will need to discuss this with your doctor."
The nurse is assessing a client scheduled for a lumbar puncture. Which clinical manifestation assessed by the nurse complicates the lumbar puncture procedure?
a. Normal intracranial pressures b. Allergy to iodine or shellfish c. Restlessness and agitation d. Eating lunch less than 2 hours ago
The nurse is preparing to administer
adenosine (Adenocard) to a patient who is experiencing an acute episode of paroxysmal supraventricular tachycardia. When giving this medication, which is important to remember? a. The onset of action occurs in 5 minutes. b. The medication must be given as a slow intravenous (IV) push. c. Asystole may occur for a few seconds after administration. d. The medication has a long half-life, and therefore duration of action is very long.
A febrile patient's mother asks the nurse why her daughter's breathing rate is increased. The nurse replies:
1. "It is normal for the fever to increase her metabolic rate. Because the heart and lungs work together, you see her breathing speed up along with her heart rate." 2. "It is quite normal for this to happen, so you can expect her respiratory rate to increase by 8 to 10 respirations per minute for each 1°F elevation in temperature." 3. "Breathing speeds up when the temperature is elevated to blow off some of the body heat." 4. "It is rare that respirations are affected by fever. We should be very concerned about this."