The nurse tells the client that the urinary catheter insertion may feel uncomfortable. Which of the following is the rationale for this nursing intervention?
a. It serves as a reminder to the nurse that catheterization may feel uncomfortable.
b. It shows the client that the nurse has performed a catheterization before.
c. An informed client often perceives the treatment with less anxiety and as less un-pleasant.
d. The nurse should not tell the client how much pain could actually be experienced by a particular procedure.
C
Clients are better prepared to handle almost any situation when they understand it, including the experience of pain.
The nurse knows that catheterization can be unpleasant and uncomfortable. This is not the best rationale.
The statement, "It shows the client that the nurse has performed a catheterization before" only says that the nurse understands how a catheterization might feel, not necessarily that he or she has performed one before. This is not the best rationale.
The nurse needs to explain procedures and associated discomfort as well as how the nurse and the client can help make the experience less painful.
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The nurse is aware that the most common sign of a vaginal hematoma is
a. excessive blood loss c. uterine atony b. severe perineal pain d. hypotension
A postpartal woman is placed on an anticoagulant to prevent further clot formation. She asks you if she will be able to continue breastfeeding. Your best response would be that
A) all anticoagulants pass in breast milk, so she will have to stop. B) anticoagulants pass in breast milk, but not in amounts great enough to cause harm. C) the effect of anticoagulants is counteracted by infant gastric juices. D) it depends on the type of anticoagulant she is taking.
The student nurse studying fluid and electrolyte balance learns that which of the following is a function of water? Select all that apply
A) provide a medium for transporting wastes to cells and nutrients from cells B) provide a medium for transporting substances throughout the body C) facilitate cellular metabolism and proper cellular chemical functioning D) act as a buffer for electrolytes and nonelectrolytes E) help maintain normal body temperature F) facilitate digestion and promote elimination
The nurse is teaching a new mother about the drastic growth and developmental changes her infant will experience in the first year of life. Which statement describes a developmental milestone occurring in infancy?
A) By 6 months of age the infant's brain weighs half that of the adult brain; at age 12 months, the brain weighs 2.5 times what it did at birth. B) Most infants triple their birthweight by 4 to 6 months of age and quadruple their birthweight by the time they are 1 year old. C) The head circumference increases rapidly during the first 6 months: the average increase is about 1 inch per month. D) The heart triples in size over the first year of life; the average pulse rate decreases from 120 to 140 in the newborn to about 100 in the 1-year-old.