On the first postpartum day, the nurse teaches the client about breastfeeding. Two hours later, the mother seems to remember very little of the teaching. The nurse understands this memory lapse to be related to which of the following?
1. The taking-hold phase
2. Postpartum hemorrhage
3. The taking-in period
4. Epidural anesthesia
3
Explanation: 3. Soon after birth during the taking-in period, the woman tends to be passive and somewhat dependent. She follows suggestions, hesitates about making decisions, and is still rather preoccupied with her needs.
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The nursing faculty member explains to a class of nursing students the correct way to assist with perineal care (peri-care) after childbirth. Which action by a student nurse would warrant intervention by the faculty member?
A. Has woman squirt warm water toward the front of the perineum B. Instructs the woman to wash her hands prior to peri-care C. Removes the peri-pad from back to front and appropriately disposes of it D. Washes the hands before assisting woman with her peri-care
Which of the following nursing measures is appropriate in breaking a link in the chain of infection?
A) Use personal protective equipment (PPE) sparingly. B) Wear gloves at all times. C) Cover one's mouth and nose when sneezing. D) Place contaminated linens in a paper bag.
A nurse is providing home care to a client with a foot ulcer related to diabetes. The client needs daily insulin injections. Family caregivers do not possess the technical skills to inject insulin. Which of the following should the nurse keep in mind?
a) The current reimbursement system recognizes the family's nontechnical value priorities. b) Family caregivers are always perceived to be supportive of good care. c) The nurse needs to be creative in integrating the technical and relational aspects of care. d) Nurses should avoid asking the family caregivers to conduct the skilled task.
A 78-year-old woman in the CCU complains of shortness of breath, along with prolonged chest pain unrelieved by rest or sublingual nitroglycerin. The nurse recognizes that this patient is most likely experiencing which condition?
A) Stable angina pectoris B) Atherosclerosis C) Classic angina D) Myocardial infarction