The nurse is creating a client education brochure describing amniocentesis. Which statement is most important for the nurse to include in the brochure?
1. "Prior to the amniocentesis, you will be asked to sign a consent form."
2. "After the amniocentesis, your vital signs will be monitored."
3. "During the amniocentesis, you might experience leaking of fluid."
4. "Following the amniocentesis, you can return to normal activities."
2
Rationale:
1. This is a true statement, but direct client care, including monitoring for complications, is a higher priority.
2. Vital signs are monitored and fetal monitoring is performed after amniocentesis to verify that both mother and fetus are physiologically stable after the test is completed.
3. Leaking of fluid is a complication of amniocentesis indicating rupture of membranes.
4. Activity should be restricted for 24 hours after the amniocentesis to help prevent complications.
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The mother of a child who has pneumonia is asking what could have been done to prevent the infection. The nurse teaches the mother that children older than 2 years:
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The nurse is working in the postanesthesia care unit (PACU) and receives a client from the operating room (OR). What does the nurse assess first?
a. Client's endotracheal tube b. Client's nasogastric tube c. Client's Foley catheter d. Hemovac drain at the incision site
After the home health nurse teaches a patient with a neurogenic bladder how to use intermittent catheterization for bladder emptying, which patient statement indicates that the teaching has been effective?
a. "I will use a sterile catheter and gloves for each time I self-catheterize." b. "I will clean the catheter carefully before and after each catheterization." c. "I will need to buy seven new catheters weekly and use a new one every day." d. "I will need to take prophylactic antibiotics to prevent any urinary tract infections."