The client requires vacuum extraction assistance. To provide easier access to the fetal head, the physician cuts a mediolateral episiotomy. After delivery, the client asks what kind of episiotomy was performed
What is the best response for the nurse to make? "The episiotomy" 1. "Goes straight back toward your rectum."
2. "Is from your vagina toward the urethra."
3. "Is cut diagonally away from your vagina."
4. "Extends from your vagina into your rectum."
3
Rationale:
1. Midline episiotomy is straight back from the vagina toward the rectum.
2. Episiotomies are not cut anteriorly toward the urethra unless the client has had a female circumcision.
3. Mediolateral episiotomy is angled from the vaginal opening toward the buttock.
4. Extension into the rectum is a fourth-degree laceration.
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The nurse on a psychiatric unit looks through a suicidal client's belongings, removing craft materials and mirrors. This is an example of:
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A community hospital wants to implement a labor delivery recovery postpartum unit to replace the labor and delivery and mother/baby units
The nurses who work on the mother/baby unit are concerned they will not be able to care for a laboring mother and may lose their jobs. The nurse manager for both units supports the plan for an integrated unit, reports that jobs would not be lost and involves the team members in the planning process, which includes cross-training all nursing staff. Based on the information presented, what causes of conflict may occur in spite of the nurse manager's effort for a smooth transition? Select all that apply. A) Mistrust B) Miscommunication C) Ambiguous role expectations D) Resistance to change E) Ineffective leadership
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a. Spiritual Distress b. Risk for Spiritual Distress c. Impaired Religiosity d. Moral Distress
The client is being educated on monitoring the effects of thyroid medication. Which measurement will the client monitor to determine the effectiveness of the medication?
1. Blood pressure 2. Temperature 3. Respiratory rate 4. Pulse rate