A client has recently undergone an anterior colporrhaphy. Which is the most important discharge instruction that the nurse can provide?
a. "Avoid sexual intercourse for 2 weeks."
b. "Call us for fever and pain that does not improve."
c. "Sutures will need to be removed in 2 weeks."
d. "An ice pack on your incision will help the pain."
B
Fever and pain may indicate an infection and should be reported. Sexual activity is restricted for 6 weeks. Sutures will absorb or fall out. Discomfort can be lessened with heat, not cold, therapy.
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A patient is admitted to the emergency room after experiencing severe chest pain and difficulty in taking deep breaths. The patient anxiously tells the nurse, "My father died suddenly of a heart attack at the age of 52. I'm so scared."
Which nursing diagnoses are appropriate for this situation? (Select all that apply.) a. Acute pain b. Fear c. Risk for aspiration d. Risk for infection
Identify the rhythm
a. Junctional escape rhythm b. Atrial fibrillation c. Unifocal premature ventricular contractions d. Ventricular tachycardia
Cultural competence is
A. A set of integrated attitudes, knowledge, and skills that enables nurses to care effectively for patients from diverse cultures B. Necessary for nurses to work collaboratively within a diverse workforce C. Requires experience working within a diverse workforce D. Both A and B
The client shows the home care nurse a cloudy bottle of regular insulin. Which does the nurse include in client teaching?
1. Regular insulin must be clear. 2. Most forms of insulin are cloudy. 3. Regular insulin needs refrigeration. 4. Warm temperature clears the insulin.