The nurse is providing instructions for a woman who has just had an intrauterine device inserted. What is essential for the nurse to teach the woman?
1. To palpate her lower abdomen each month to check the patency of the device
2. To remain on bed rest for 24 hours after insertion of the device
3. To report any pain during intercourse to the physician
4. To insert spermicidal jelly within 4 hours of every sexual encounter
3
Rationale 1: Palpating her lower abdomen is not the way to determine the patency of the device.
Rationale 2: There is no need for 24 hours of bed rest after insertion.
Rationale 3: The patient should report any pain during intercourse to the physician. This can be due to an infection.
Rationale 4: There is no need to use additional contraception with the IUD.
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The nurse is caring for a patient who is mechanically ventilated. As part of the nursing care, the nurse understands that:
a. communication with intubated patients is often difficult. b. controlled ventilation is the preferred mode for most patients. c. patients with chronic obstructive pulmonary disease wean easily from mechanical ventilation. d. wrist restraints are applied to all patients to avoid self-extubation.
Web-based instruction (WBI) uses the attributes and resources of the Internet to deliver and support education. Which of the following ways may effectively be used to teach health care content via WBI? Select all that apply
1. Teleconferencing mode 2. Stand-alone course 3. Supplement traditional, face-to-face courses 4. Wiki mode 5. Connectivity with hospital information systems
The nurse has completed a back massage for a client. What should the nurse document about this procedure?
1. Effectiveness of pain medication using a rating scale from 0 to 10. 2. Position to perform the massage. 3. Content of communication that occurred during the back massage. 4. Amount of lotion used during the back massage. 5. Client response.
A 92-year-old patient is scheduled for a colectomy. Which of the following physiological changes accompanies the aging process and increases this patient's risk for surgery?
a. An increased tactile sensation b. An increased metabolic rate c. A relaxation of arterial walls d. Reduced glomerular filtration