An elderly client, who can void only while standing and pushing upward on the vagina, is ordered a pessary. Which comment from the client indicates a need for further teaching about this device?
A) "I will remove and clean it every day."
B) "I will report any signs of irritation or bleeding."
C) "I should have greater ease of emptying my bladder."
D) "I should report any foul odor or drainage."
A
Feedback:
Pessaries should be removed, cleaned, and replaced periodically (at least every 2 months). If the client is unable to manage the pessary, then follow-up appointments should be made with the practitioner. Ill-fitting pessaries can cause irritation and erosion of tissue resulting in irritation, bleeding, or infection. The placement of the pessary should support the uterus in the pelvis and lessen urinary and pelvic symptoms.
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The nurse is conducting a physical examination of a child with a brachial plexus injury. Which finding would lead the nurse to be highly suspicious of Erb palsy?
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a. 4-year-old child c. patient who is nau-seated b. patient who is im-munocompromised d. patient who has dys-phagia
A systematic review of many studies is important when deciding on an EBP procedure because:
A) Subjects cannot be assumed to provide accurate information in surveys. B) No single study can answer a research question. C) The reviewer cannot count on qualitative studies as valid. D) Reviewers sometimes show biased opinions concerning the validity of a study.
A patient recovering from a lung transplant will have denervation of the lung tissue. What should the nurse include when planning this patient's care? Select all that apply.
A. Performing postural drainage twice a shift. B. Ensuring oxygen delivery is below 2 L. C. Administering mucolytics every 2 hours. D. Scheduling deep breathing and coughing every 2 hours. E. Positioning for chest vibration and percussion twice per shift.