A 62-year-old patient has had a hemorrhoidectomy at an outpatient surgical center. Which instructions will the nurse include in discharge teaching?

a. Maintain a low-residue diet until the surgical area is healed.
b. Use ice packs on the perianal area to relieve pain and swelling.
c. Take prescribed pain medications before a bowel movement is expected.
d. Delay having a bowel movement for several days until healing has occurred.


c. Take prescribed pain medications before a bowel movement is expected.

Bowel movements may be very painful, and patients may avoid defecation unless pain medication is taken before the bowel movement. A high-residue diet will increase stool bulk and prevent constipation. Delay of bowel movements is likely to lead to constipation. Warm sitz baths rather than ice packs are used to relieve pain and keep the surgical area clean.

Nursing

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While completing courses for a master's degree in nursing education the nurse has taken electives for gerontology, informatics, and pain management

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At what stage does a child develop a sense of "self-worth"?

A. Toddler B. Preschool C. School age D. Adolescence

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The parents of a preterm newborn desire to visit their baby in the NICU. All of the following statements by the nurse will support the parents as they visit their newborn except:

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A woman is having her first child. She has been in labor for 15 hours. Two hours ago her vaginal examination revealed the cervix to be dilated to 5 cm and 100% effaced, and the presenting part was at station 0

Five minutes ago her vaginal examination indicated that there had been no change. What abnormal labor pattern is associated with this description? a. Prolonged latent phase c. Arrest of active phase b. Protracted active phase d. Protracted descent

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