The client is recovering from delivery that included a midline episiotomy. Her perineum is swol-len and sore. The client is asking for her ice pack to be refreshed. The best response from the nurse is:

1. "I'll get you one right away."
2. "You only need to use one ice pack."
3. "You need to leave it off for at least 20 minutes and then reapply."
4. "I'll bring you an extra so that you can change it when you are ready."


3
Rationale:
1. Optimal effects from the use of an ice pack occur when it is applied for 20–30 minutes and then removed for at least 20 minutes before being reapplied.
2. Optimal effects from the use of an ice pack occur when it is applied for 20–30 minutes and then removed for at least 20 minutes before being reapplied.
3. Optimal effects from the use of an ice pack occur when it is applied for 20–30 minutes and then removed for at least 20 minutes before being reapplied.
4. Optimal effects from the use of an ice pack occur when it is applied for 20–30 minutes and then removed for at least 20 minutes before being reapplied.

Nursing

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The nurse explains that an individual who perceives a threat to self may experience a universal emotion of:

a. fear. b. anger. c. depression. d. anxiety.

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Feeding tubes should be placed into the small intestine rather than the stomach if

a. the patient is comatose. b. a regular polymeric formula is being used. c. the patient prefers not to have a tube passing through his or her nose. d. the patient is expected to resume oral feedings within 1 to 2 weeks.

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In which position would the nurse place a patient before the administration of an enteral feeding?

a. Supine b. Semi-Fowler's c. Left lateral d. Prone

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