The client delivered vaginally two hours ago after receiving an epidural analgesia. She has a slight tingling sensation in both lower extremities but normal movement. She sustained a second degree perineal laceration
Her perineum is edematous and ecchymotic. What should the nurse include in the plan of care for this client? A. Assist client to the bathroom in two hours to void.
B. Place a Foley catheter now.
C. Apply warm packs to perineum three times a day.
D. Allow client to rest for the next eight hours.
A
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Which statement is most appropriate for a nurse to tell a patient before insertion of the radioactive implant?
a. "Nurses will always be available, but they will spend only short periods of time at your bedside." b. "Personal cleanliness is essential, so you will be given a complete bed bath each day." c. "Your diet will be changed to a high-fiber diet to encourage daily bowel movements." d. "Your bed linens will be completely changed each day to minimize radioactive contamination."
The mother brings her infant to the clinic due to ear pain. The infant has a fever of 102°F, and the mother has the infant tightly swaddled in layers of blankets to sweat out the fever. The nurse plans to teach this mother How to:
1. Spongewith cool water to reduce fever. 2. Encourage the intake of solid foods. 3. Take an accurate temperature. 4. Dress an infant with a fever.
Each of the following children visits the school nurse on a regular basis. Which of these children would the nurse identify as being at risk for educational difficulty and suggest follow-up care?
a. 9-year-old whose parents recently divorced b. 10-year-old who cannot sit still longer than 15 minutes c. 12-year-old with a 4000-word vocabulary d. 11-year-old who scored 102 on an IQ test
Many falls occur when
A) patients go to and from the bathroom. B) two or more assistants use the hydraulic lift. C) alert patients transfer independently. D) hospital staff change shifts.