For delivery, a client received a midline episiotomy, which extended into a third-degree laceration. What should the nurse include when explaining the location of the episiotomy to the client?

1. "Up near your urethra."
2. "Into the muscle layer."
3. "Through your rectal mucosa."
4. "Through your rectal sphincter."


4
Explanation:
1. A periurethral laceration is near the urethra.
2. A first-degree laceration involves only the skin. A second-degree laceration involves skin and muscle.
3. A fourth-degree laceration is through the rectal mucosa.
4. A third-degree laceration includes the rectal sphincter.

Nursing

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Which of the following statements is true of cultural assimilation?

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The client has an endotracheal tube and is on a mechanical ventilator and the nurse establishes Ineffective airway clearance as the client's nursing diagnosis. Which is the priority nursing in-tervention for the client's nursing diagnosis?

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A nurse in a healthcare facility is caring for a client who has a puncture wound to the chest caused by a foreign object. Which equipment should the nurse obtain?

A) Thermometer B) Manual breathing bag C) Peak flow meter D) Catheter

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