The nurse provides which instructions to the client following delivery regarding care of the episiotomy site to prevent infection? Select all that apply
1. Change the perineum pads three times a day.
2. Take a warm sitz baths three times a day.
3. Wipe the perineum from front to back after voiding and defecation.
4. Use warm water to rinse the perineum after elimination.
5. Report a foul-smelling discharge.
2, 3, 4, 5
Rationale: Warm sitz baths and cleansing with warm water are helpful for relieving pain, and these measures will promote cleanliness in the perineal area to prevent infection. The client should also be instructed to wipe the perineum from front to back after voiding and defecation to decrease the risk for contamination with microorganisms from the anus to the vagina. Warm wa-ter should be used to rinse the perineum after elimination. The client also should be instructed that the perineal pad should be changed after each elimination and may be changed in between.
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An elderly patient is dying, and begins talking to loved ones who have died before him. The nurse feels a sense of inner peace as his patient quietly dies. What is the best term for this feeling of peace?
a. Self-transcendence b. Intrapersonal connectedness c. Interpersonal connectedness d. Transpersonal connectedness
A patient is seen in the clinic for peptic ulcer disease. The nurse realizes this patient's treatment will include:
• Ways to prevent hospitalization. • A plan to be admitted to the hospital for diagnostic testing. • The need for a pneumococcal vaccination. • Vaccination against hepatitis A.
A hospital specializing in women's and children's services opened in a mid-sized town. As the organization grew, more staff members were needed to accommodate the new services added
The hospital developed job descriptions, policies, and procedures for the employees working in the new services. This hospital was going through which developmental stage? a. Birth b. Youth c. Maturity d. Termination
You are given a written order by a provider to administer an unusually large dose of pain medicine to your patient. In this situation, which of the following is an appropriate nursing action?
A. Administer the medication because it was ordered by a provider. B. Refuse to administer the medication, and move on to another patient. C. Speak with the provider about your concerns, and clarify whether the medication dose is accurate. D. Select a dose that you feel comfortable with, and administer that dose.