After teaching a client about the use of a pessary, which statement by the client indicates the need for additional instruction?
A) "A white or yellow vaginal discharge is expected and normal."
B) "I need to apply a sterile lubricant to the pessary before reinserting it."
C) "After removal, I should wash the pessary with warm soapy water, rinse, and dry it."
D) "I should call the physician if I notice any discomfort with the pessary."
A
Feedback:
A white or yellow discharge from the vagina is not a normal finding and should be reported to the physician because it may indicate an infection. A sterile lubricant is applied to the pessary before it is reinserted. After removal, the pessary should be washed thoroughly with warm soapy water, followed by rinsing and drying. Discomfort may indicate that a pessary has been inserted incorrectly, it has moved, or that it is causing irritation. These problems should be reported to the physician.
You might also like to view...
A woman who is a victim of severe emotional violence tells the nurse that her husband abuses her
most often when he is intoxicated, just as his father had beaten him and his mother. She states he is always apologetic and remorseful after an incident. She has considered leaving home with her two children but has not been able to bring herself to actually leave. The stage in the cycle of violence that prevents her from leaving her husband is the a. tension-building stage. b. acute battering stage. c. honeymoon stage. d. recovery stage.
You are giving a presentation to the local senior citizens' club on ankylosing spondylitis
a. What is it? b. How does it affect the body? c. How does it begin? d. What are the signs and symptoms? e. List some of the more common treatments and nursing managements.
What is a strategy used to minimize scarring with burn injury in a child?
a. Applying of drying agents on skin b. Use of loose-fitting garments over healing areas c. Limitation of period without pressure to areas of scarring d. Immobilization of extremities while healing is occurring
After piloting changes based on evidence-based research, the nurse understands that they will be instituted as a result of the effects on which of the following? Select all that apply
a. Staff b. Number of UAPs available c. Cost d. Patient e. Census