Select the instruction by the nurse that is most helpful in relieving the pain from an episiotomy in a 1-day postpartum client
a. Increase fluid intake to 2000 mL per day.
b. Keep the head of the bed elevated 45 de-grees.
c. Apply an ice pack to your perineum.
d. Use a sitz bath twice a day.
C
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Rick is a 27-year-old who works in an accounting firm. He had started to experience lower back pain and stiffness that he thought were a result of the long hours he spent at his desk. More recently, however, he began to have sleep difficulties
He found that he often woke up during the night feeling hot and sometimes sweaty. Furthermore, his back pain disrupted his sleep, particularly when it radiated around his pelvis and into his thighs. When his lack of sleep began to interfere with his work, he went to an osteopath to see what was wrong. She listened to his case history carefully. Upon physical examination, she noted a slight decrease in his lumbar lordosis and a reduced range of movement in his lumbar spine. His blood tests revealed the presence of HLA-B27, an elevated ESR, and absence of RH. His radiograph showed evidence of sacroiliitis. What is the likely diagnosis Rick received? What are the common clinical presentation and manifestations of the disease? Why is osteoarthritis of the hips a potential secondary complication of this disease? What are the structural changes that occur in the articular cartilage of an osteoarthritic joint? What is the effect of advanced ankylosing spondylitis on lung function?
The nurse is planning care for a client with a schizoid personality disorder. Which nursing diagnosis will the nurse likely use for this client?
1. Social Isolation related to inadequate social skills, craving of solitude 2. Risk for Violence, Self-Directed, related to poor impulse control 3. Fear related to feelings of abandonment 4. Ineffective Individual Coping related to high dependency needs
Based on changes in hepatic function in older adult patients, which adjustment should the nurse expect for oral medications that undergo extensive first pass metabolism?
a. A higher dose should be used with the same time schedule. b. The interval between doses should be in-creased. c. No change is necessary; metabolism will not be affected. d. The interval between doses should be re-duced.
Nurses realize that in conversion disorder, the patient:
A) Lets go of emotionally uncomfortable thoughts and feelings B) Expresses thoughts and feelings through physical symptoms C) Understands the cause for the paralysis D) Projects the problem onto a significant other