The nurse is teaching a patient with PPROM about self-care activities. Which activities listed below should the nurse include in her teaching to this patient? (Choose all that apply.)
1. Report a temperature of more than 40º C.
2. It is safe to use a tampon to absorb the leaking amniotic fluid.
3. Do not engage in sexual activity.
4. It is safe to take frequent tub baths.
5. It is acceptable to douche to cleanse the vagina of foul-smelling fluids.
3
1. Incorrect. A temperature of more than 38º C should be reported.
2. Incorrect. To avoid the risk of infection, nothing should be inserted into the vagina.
3. Correct. Sexual activity should be avoided as it may induce preterm labor.
4. Incorrect. Tub baths should be avoided to prevent to risk of infection.
5. Incorrect. To avoid the risk of infection, nothing should be inserted into the vagina. Fur-thermore, foul-smelling vaginal fluid should be reported because this may be a sign of exist-ing infection.
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During report, the nurse is told that a patient "has moderate jaundice." Which of the following assessment findings would the nurse expect to see?
a. Bluish tinge to the fingers and toes b. Flushing in the face c. Yellow discoloration of the skin d. Pale mucous membranes
Your older adult patient has a diagnosis of rheumatoid arthritis (RA) and has been achieving only modest relief of her symptoms with the use of nonsteroidal anti-inflammatory drugs (NSAIDs)
When creating this patient's plan of care, which nursing diagnosis would most likely be appropriate? A) Self-care deficit related to fatigue and joint stiffness B) Ineffective airway clearance related to chronic pain C) Risk for hopelessness related to body image disturbance D) Anxiety related to chronic joint pain
A client has a large burned area on the right arm. The burned area appears pink, has blisters, and is very painful. How does the nurse categorize this injury?
a. Full thickness b. Partial thickness superficial c. Partial thickness deep d. Superficial
Select the mechanism of action of trimethadione (Tridione).
A. Trimethadione (Tridione) increases the inhibitory effects of the neurotransmitter gamma-aminobutyric acid (GABA). B. Trimethadione (Tridione) attaches to plasma protein, which reduces the occurrence of seizures. C. Trimethadione (Tridione) reduces the T-type calcium currents in the thalamus, which reduces the occurrence of seizures. D. None of the above are correct.