A nurse is preparing a postoperative nursing care plan for a client after vaginal
hysterectomy. What nursing care measure should be included in the client's nursing care
plan?
A) Teach the client how to use a peribottle
B) Teach client to clean the perineum from back to front
C) Encourage the client to stay in bed as much as possible
D) Tell the client to avoid sitz baths
A
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The difference between the aseptic and terminal methods of sterilization is the:
a. Aseptic method does not require boiling of the bottles. b. Terminal method requires boiling water to be added to the formula. c. Aseptic method requires a longer preparation time. d. Terminal method sterilizes the prepared formula at the same time it sterilizes the equipment.
The nurse uses the PLISSIT format in helping clients who have sexual dysfunction. Which action by the nurse best reflects the 'SS' section of this format?
A) Use the nurse's knowledge about how disease affects sexuality to offer specific suggestions for the client. B) Offer the client a list of expected sexual side effects of drugs or treatments. C) Focus interventions on explaining the somatic sexual difficulties and their treatment. D) Identify any concerns the client has regarding attraction to the same sex.
The nurse is assessing a client with a cuffed tracheostomy tube in place who is breathing spontaneously. to evaluate if the client can tolerate cuff deflation to promote speaking and swallowing, what action should the nurse implement?
A. observe the client for coughing colored sputum after drinking a small amount of colored water B. ask the client to try to speak C. auscultate for pulmonary crackles after the client drinks a small amount of clear water D. assess for respiratory distress
A nurse is assessing the chest tube drainage system of a postoperative client who has undergone a right upper lobectomy. The closed drainage system contains 300 mL of bloody drainage, and the nurse notes intermittent bubbling in the water seal chamber. One hour after the initial assessment, the nurse notes that the bubbling in the water seal chamber is now constant, and the client appears dyspneic. On the basis of these findings, what should the nurse assessfirst?
A. The client's vital signs B. The amount of drainage C. The client's lung sounds D. The chest tube connections