The client is recovering from delivery that included a midline episiotomy. Her perineum is swollen and sore. The client is asking for her ice pack to be refreshed. The best response from the nurse is:
A. "I'll get you one right away."
B. "You only need to use one ice pack."
C. "You need to leave it off for at least 20 minutes and then reapply."
D. "I'll bring you an extra so that you can change it when you are ready."
C
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A female client disclosed to the nurse that she is in an abusive situation. This information will be used to contribute to:
1. Axis IV. 2. Axis III. 3. Nothing, since this is confidential information and should not be shared. 4. Axis I.
A mother brings her 18-month-old child into the clinic for a well-baby check-up. A nurse will administer measles, mumps, and rubella vaccine (MMR) to the child. What dosage will the nurse administer?
A) 1.0 mL subcutaneously B) 0.75 mL subcutaneously C) 0.5 mL subcutaneously D) 0.25 mL subcutaneously
The nurse is aware that the enteral tube feedings are contradicted in clients with which of the following? (Select all that apply.)
a. severe diarrhea d. severe pancreatitis b. intestinal obstruction e. GI ischemia c. peritonitis f. paralytic ileus
Hepatitis B immune globulin is administered to provide passive immunity to:
1. Infants born to HBsAg-positive mothers 2. Household contacts of hepatitis-B virus infected people 3. Persons exposed to blood containing hepatitis B virus 4. All of the above