A G2 P1 woman who experienced a prolonged labor and prolonged rupture of membranes is at risk for metritis. Which of the following nursing actions are directed at decreasing this risk? (Select all that apply.)
a. Instruct woman to increase her fluid intake
b. Instruct woman to change her peri-pads after each voiding
c. Instruct woman to ambulate in the halls four times a day
d. Instruct woman to apply ice packs to the perineum
ANS: a, b, c
Feedback
a. Maintaining adequate hydration can decrease a person's risk for infection.
b. Lochia is a media for bacterial growth, so it is important to frequently change the peri-pads.
c. Ambulation can decrease the risk of infection by promoting uterine drainage.
d. Ice pack therapy is directed at decreasing edema of the perineum and promoting comfort. It has no effect on metriosis.
You might also like to view...
During the assessment of a newly admitted female patient, the nurse has assessed the amplitude of the woman's temporal, dorsalis pedis, and posterior tibial pulses
The amplitude of these peripheral pulses contributes to the nurse's determination of this patient's: A) Peripheral arterial circulation B) Tissue perfusion in her extremities C) Resting blood pressure D) Risk of deep vein thrombosis (DVT)
Which nursing diagnosis is most significant in planning the care for a client with Raynaud's disease?
A) Acute Pain B) Disturbed Sensory Perception C) Self-Care Deficit D) Activity Intolerance
A client with AIDS has been tested for cytomegalovirus (CMV) with positive titers. What severe complication should the nurse be alert for with cytomegalovirus?
A) Diarrhea B) Hearing impairment C) Blindness D) Fatigue
The nurse has reviewed the assessment findings for a recently admitted client. The nurse notes the client's dietary intake of the vitamin B complex to be lacking
Which of the findings confirm this deficiency? Standard Text: Select all that apply. 1. Loss of fat 2. Muscle wasting 3. Hyporeflexia 4. Spoon nails 5. Ataxia