A patient receiving a sitz bath complains of light-headedness to the nurse. What is the intervention that should be implemented in this situation?
A) This is a normal effect of a sitz bath and the bath should be continued after reassuring the patient.
B) Stop the sitz bath, call for help, and help the patient to the toilet to sit down.
C) Stop the sitz bath and help the patient ambulate back to the patient room.
D) Call for a code blue because the patient is experiencing symptoms of an MI.
B
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The nurse is caring for a patient whose fallopian tubes were damaged by recurrent pelvic infections resulting in complete obstruction of both tubes. The patient asks the nurse, "Why can't I get pregnant?" What is the nurse's best response?
A) "You can get pregnant but the embryo, once fertilized, cannot travel to the uterus to implant and grow." B) "The blockage of your fallopian tubes prevents the high levels of estrogen and progesterone needed to sustain the pregnancy." C) "You cannot become pregnant because damage to your fallopian tubes causes ova to stop being released from the ovary." D) "You cannot become pregnant because sperm cannot travel through the fallopian tubes to fertilize the ova released by the ovary."
When caring for clients who have mental illness, the nurse's priority intervention are focused on:
a. client advocacy c. medication administration b. client safety d. teaching
What action should a nurse implement to prevent complications in a patient with hepatitis who has been prescribed bedrest?
a. Raise the knee gatch to prevent the patient from sliding down in bed. b. Provide undisturbed periods of 6 hours to encourage rest. c. Restrict fluids. d. Encourage turning, coughing, and deep breathing every 2 hours.
The nurse should assess a child who has had a tonsillectomy for
a. Frequent swallowing b. Inspiratory stridor c. Rhonchi d. Elevated white blood cell count