The nurse is completing discharge teaching for a patient who delivered 2 days ago. Which statement by the patient 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 patient has an episiotomy, to prevent infection and facilitate healing.
Rationale 2: Warm tub baths are helpful to facilitate both comfort and healing of an episiotomy.
Rationale 3: Healing episiotomies can be very painful, and pain medication should be provided for patients experiencing pain.
Rationale 4: This statement is incorrect. Midline episiotomies tend to tear posteriorly toward the rectum.
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A) Introduction B) Method section C) Results section D) Discussion
Which of the following groups is pressuring clinicians the most to use evidence-based practice (EBP)?
a. Administrators b. Insurance companies c. Nurses d. Physicians
A patient experiencing acute mania undresses in the group room and dances. The nurse intervenes initially by:
a. quietly asking the patient, "Why don't you put your clothes on?" b. firmly telling the patient, "Stop dancing and put on your clothing." c. putting a blanket around the patient and walking with the patient to a quiet room. d. letting the patient stay in the group room and moving the other patients to a different area.
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?
1. Use the nurse's knowledge about how disease affects sexuality to offer specific suggestions for the client. 2. Focus interventions on explaining the somatic sexual difficulties and their treatment. 3. Offer the client a list of expected sexual side effects of drugs or treatments. 4. Identify any concerns the client has regarding attraction to the same sex.