The nurse is completing discharge teaching for a client who delivered two days ago. Which statement indicates that further information is required?
1. "Because I have a midline episiotomy, I should keep my perineum clean."
2. "Soaking in the tub will help my mediolateral episiotomy to heal."
3. "I can take ibuprofen (Motrin) when my perineum starts to hurt."
4. "The tear I have through my rectum is unrelated to my episiotomy."
4
Rationale:
1. Perineal hygiene is important when a client has an episiotomy, to prevent infection and facilitate healing.
2. Warm tub baths are helpful to facilitate both comfort and healing of an episiotomy.
3. Healing episiotomies can be very painful, and pain medication should be provided for clients experiencing pain.
4. This statement is incorrect. Midline episiotomies tend to tear posteriorly toward the rectum.
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In questioning an older adult, which question is likely to elicit the most accurate information about the individual's adherence to the medication plan?
a. "You take digoxin (Lanoxin) at the correct time, don't you?" b. "Why didn't you take all of your digoxin (Lanoxin) last month?" c. "How many doses of digoxin (Lanoxin) do you think you missed?" d. "You have never missed a dose of digoxin (Lanoxin), have you?"
The nurse is assessing the patient's medication history and learns the patient received a prescription for voriconazole from one provider and a prescription for an ergot alkaloid from another provider
The nurse realizes this patient is at risk for, and needs to be assessed for, what condition? A) Liver toxicity B) Central nervous system (CNS) depression C) Ergotism D) Renal toxicity
Anaerobic organisms tend to grow within body cavities. What will the nurse use to collect an anaerobic specimen?
a. Sterile cotton applicator b. Sterile culture tube c. Sterile syringe tip d. Sterile glass rod
You ask the patient to state his name and birth date, and the patient responds correctly. Then you give the patient the prescribed drug tablet. The patient says "I haven't ever taken a green pill before." What is your best response?
a. "Go ahead and take the drug. The same medications from different drug companies may have a different color." b. "Go ahead and take the drug. It is likely that your health care provider has prescribed a new drug for you." c. "Don't take this drug right now. It is probably not the one prescribed for you." d. "Don't take this drug right now. Let me recheck everything to be sure."