A postpartum client has a midline episiotomy and states there is a great deal of discomfort whenever she moves. To decrease the discomfort, the nurse should instruct the client to:
a. ask for medication as needed
b. sit on a large pillow at all times
c. walk around frequently to restore circulation
d. tighten the buttocks and perineum before sitting and relax the area once seated
D
Assess the episiotomy for redness, ecchymosis, edema, discharge, and approximation of suture line. Encourage client to tighten the buttocks and perineum before sitting, and once seated, relax the area to decrease the stress placed on the incision line.
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According to Gilligan, which statement is true?
1. Men usually follow the moral development path of nonviolence. 2. Women usually follow the moral development path of equality. 3. Men usually follow the moral development path of fairness. 4. Women usually follow the moral development path of justice.
Nurses must develop an awareness of the ethical and legal considerations pertaining to nursing practice
Indicate whether the statement is true or false
Following a cesarean section, a client's Foley catheter is discontinued at 2400 . She has not been able to void by 0600 and the fundus has risen from u/u to u+2 . What would be the correct nursing action?
a. After checking for a p.r.n. order, perform straight catheterization now. b. Ask her to notify you as soon as she feels an urgency to void. c. Ask if she has any bladder discomfort and medicate as ordered. d. Force fluids if she is able to take liquids.
A woman who is gravida 3, para 2, enters the intrapartum unit. The most important nursing assessments are:
a. contraction pattern, amount of discomfort, and pregnancy history. b. fetal heart rate, maternal vital signs, and the woman's nearness to birth. c. last food intake, when labor began, and cultural practices the couple desires. d. identification of ruptured membranes, the woman's gravida and para, and her support person.