A nurse is caring for a postpartum client who has an episiotomy wound infection.
Which of the following should the nurse do? (Select all that apply.) A) Administer antibiotics as prescribed.
Monitor wound healing.
Teach wound care.
Culture wound if indicated.
Culture wound if indicated.
Apply heat to wound.
Correct Answer : A,B,C,D
The correct answer is choice A, B, C and D. Antibiotics, wound monitoring, wound care and wound culture are all appropriate interventions for a postpartum client who has an episiotomy wound infection. According to Mayo Clinic, an episiotomy wound infection can cause pain, fever, pus and wound breakdown. According to SpringerLink, an episiotomy wound infection is usually caused by a polymicrobial infection of Gram-negative and Gram-positive bacteria.
Therefore, administering antibiotics as prescribed can help treat the infection and prevent complications.
Monitoring wound healing can help detect any signs of worsening infection or dehiscence.
Teaching wound care can help the client prevent further contamination and promote healing.
Culturing the wound if indicated can help identify the causative organisms and guide antibiotic therapy.
Choice E is wrong because applying heat to the wound can increase inflammation and pain. According to NCBI, there is no evidence that heat therapy is beneficial for episiotomy wounds.
Instead, cold therapy may be more effective in reducing swelling and discomfort.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
The correct answer is choice A. Increased clotting factors.Increased clotting factors are a physiological adaptation to pregnancy that reduces the risk of hemorrhage during delivery, but also increases the risk of venous thromboembolism (VTE) in pregnancy and postpartum.The risk of VTE is highest in the first week after delivery and gradually declines over the next 12 weeks.
Choice B is wrong because decreased blood volume is not a risk factor for VTE.In fact, blood volume increases by about 50% during pregnancy to meet the increased metabolic demands of the mother and fetus.
Choice C is wrong because increased cardiac output is not a risk factor for VTE.
Cardiac output also
Correct Answer is A
Explanation
The correct answer is choice A.The woman should change her perineal pad every time she uses the bathroom to prevent infection and promote healing of the perineal area.
Some possible explanations for the other choices are:
• Choice B is wrong because the woman should wipe her perineum from front to back after urinating or defecating to avoid introducing bacteria from the anus to the vagina or urethra.
• Choice C is wrong because the woman should apply ice packs on her perineum for the first 24 hours after birth, not for the first week.
Ice packs help reduce swelling and pain in the per
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