The nurse teaches a client with genital herpes about effective comfort measures. Which statement by the client indicates a need for further teaching by the nurse?
a. "I can apply warm towels or ice packs to the lesions."
b. "Sitz baths three times a day may help ease the pain."
c. "I understand there are anesthetic sprays and ointments."
d. "I really should try to limit urination due to the pain."
ANS: D
The client should urinate frequently, not limit voiding. Voiding while in the shower or tub should lessen the discomfort. Warm compresses, ice packs, sitz baths, and anesthetic sprays and ointments are all effective comfort measures that can be used with genital herpes.
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The nurse is caring for a patient who is scheduled for cardiac surgery. What should the nurse include in preoperative care?
A) With the patient, clarify the surgical procedure that will be performed. B) Withhold the patient's scheduled medications for at least 12 hours preoperatively. C) Inform the patient that health teaching will begin as soon as possible after surgery. D) Avoid discussing the patient's fears as not to exacerbate them.
A patient with severe spasticity sees his physician. The physician orders dantrolene. In what circumstances is the drug dantrolene contraindicated?
A) Spasticity that contributes to upright position B) Spasticity that involves both legs C) Spasticity that involves the arm and the leg on the same side D) Spasticity that contributes to mobility
Which statement made by a client's spouse indicates the need for more teaching about prevention of a pulmonary embolism at home after major abdominal surgery?
A. "While he is awake, I will make sure he gets up and walks for at least 5 minutes every 2 hours." B. "He is prone to constipation, so I will increase the amount of fiber in his meals every day." C. "I will massage his feet and legs twice a day to help blood return." D. "I will check his breathing rate and level twice a day."
Concerning maternal, fetal, and neonatal health problems, nurses should be aware that:
1. infection has replaced pulmonary embolism as one of the three top causes of ma-ternal death attributable to pregnancy. 2. the leading cause of death in the neonatal period is disorders related to short ges-tation and low birth weight. 3. factors related to maternal death rate include age and marital status, but not race. 4. antepartum fetal deaths can best be prevented by better recognizing and respond-ing to abnormalities of pregnancy and labor.