A nurse is planning care for a client who is 12 hr postpartum and has a third-degree perineal laceration. Which of the following interventions should the nurse include in the plan?
Place a witch hazel pad on the client's perineal pad after each voiding
Apply hydrogel pads to the perineum every 4 hr
Prepare the client for a pudenal nerve block
Encourage the client to apply a warm pack to the perineum for discomfort
The Correct Answer is B
A. Place a witch hazel pad on the client's perineal pad after each voiding: Witch hazel pads can provide relief from perineal discomfort, but they are typically used in the immediate postpartum period for general comfort rather than specifically for third-degree perineal lacerations.
B. Apply hydrogel pads to the perineum every 4 hr: Hydrogel pads can help soothe and cool the perineal area, providing relief from pain and discomfort. This intervention is appropriate for third-degree perineal lacerations.
C. Prepare the client for a pudendal nerve block: Pudendal nerve blocks are typically used for pain relief during the second stage of labor and delivery. They are not a standard intervention for managing third-degree perineal lacerations postpartum.
D. Encourage the client to apply a warm pack to the perineum for discomfort: While warm packs can provide comfort, they are generally not recommended for third-degree perineal lacerations. Cold packs or hydrogel pads are often more appropriate for reducing swelling and providing relief in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hypertension: Hypertension is not typically associated with abruptio placentae. In fact, abruptio placentae is often linked to conditions such as chronic hypertension, but the presentation is more commonly associated with symptoms like uterine tenderness, bleeding, and fetal distress.
B. Uterine tenderness: This is the correct answer. Uterine tenderness is a common clinical finding in abruptio placentae. It results from the separation of the placenta from the uterine wall, leading to blood accumulation in the uterine musculature.
C. Leukorrhea: Leukorrhea, a white or yellowish discharge from the vagina, is not a typical finding in abruptio placentae. The condition is characterized by vaginal bleeding and uterine tenderness.
D. Fetal tachycardia: Fetal distress, including fetal tachycardia, is a potential complication of abruptio placentae. However, uterine tenderness is a more immediate and direct finding associated with the separation of the placenta.
Correct Answer is A
Explanation
A. Lentils: Lentils are an excellent source of dietary fiber. They provide both soluble and insoluble fiber and are high in protein. One cup of cooked lentils can contain a significant amount of fiber.
B. Asparagus: Asparagus is a nutritious vegetable, but its fiber content is relatively lower compared to lentils. It contains soluble and insoluble fiber, contributing to overall dietary fiber intake.
C. Oatmeal: Oatmeal is a good source of soluble fiber, particularly beta-glucans. While it is a healthy choice for increasing fiber intake, the actual fiber content per cup can vary depending on the type and preparation of oatmeal.
D. Cabbage: Cabbage is a vegetable that contains fiber, but its fiber content per cup is generally lower compared to lentils. It is a good addition to a high-fiber diet but may not provide as much fiber in a single cup serving.
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