A nurse is providing discharge teaching to a client who had a ruptured uterus and a hysterectomy during labor.

Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Avoid lifting anything heavier than your newborn for 6 weeks

Use sanitary pads rather than tampons for vaginal bleeding

Resume sexual intercourse when you feel comfortable

Drink plenty of fluids and eat foods high in fiber

Report any foul-smelling vaginal discharge or fever to your provider.

Answer and Explanation

Correct Answer : B,D,E

The nurse should include these instructions in the teaching because:

• Choice B: Using sanitary pads rather than tampons for vaginal bleeding can prevent infection and irritation of the surgical site.

• Choice D: Drinking plenty of fluids and eating foods high in fiber can help prevent constipation, which can strain the abdominal muscles and cause pain.

• Choice E: Reporting any foul-smelling vaginal discharge or fever to the provider can help detect signs of infection, which can be a complication of hysterectomy.

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Correct Answer is A

Explanation

Severe perineal pain is a manifestation of a hematoma in the perineal area, which can result from vacuum-assisted delivery.A hematoma is a collection of blood under the skin or in the tissues that can cause pressure and pain.

Normal ranges for hemoglobin are 12 to 16 g/dL for women and 14 to 18 g/dL for men.Normal ranges for white blood cell count are 4,000 to 11,000 cells per microliter of blood.

A. Encourage fluid intake of at least 3 L per day B. Apply zinc oxide cream to the perineal area C. Insert an indwelling urinary catheter D. Teach pelvic floor exercises.

Correct Answer is B

Explanation

a vesicovaginal fistula is an abnormal opening that forms between the bladder and the wall of the vagina, causing urine to leak out of the vagina.Zinc oxide cream can help protect the skin from irritation and infection.

Normal ranges for fluid intake are about 2 to 3 liters per day for healthy adults, depending on age, activity level, and climate.Normal ranges for pelvic floor muscle strength are 10 to 12 contractions of 6 to 8 seconds each, with a rest period of 4 to 6 seconds between each contraction.

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A nurse is providing discharge teaching to a client who had a ruptured uterus and a hysterectomy during labor. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who had a vacuum-assisted delivery due to prolonged labor and is at risk for developing a hematoma in the perineal area. Which of the following manifestations should alert the nurse to this complication?

Correct Answer is A

Explanation

A nurse is caring for a client who has prolonged and obstructed labor and develops a vesicovaginal fistula. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is B

Explanation

A nurse is assessing a client who is in labor and has been pushing for 3 hours with no progress. The nurse should identify that this client is at risk for which of the following complications? (Select all that apply.).

A nurse is providing discharge teaching to a client who had a ruptured uterus and a hysterectomy during labor. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A nurse is reviewing the partograph of a client in labor. The nurse notes that the cervical dilation curve is above the alert line and below the action line. What does this indicate?

A nurse is preparing to assist with an emergency cesarean delivery for a client who has a ruptured uterus. Which of the following equipment should the nurse have readily available? (Select all that apply.)

A nurse is caring for a client who has prolonged labor and is at risk for infection. Which of the following actions should the nurse take to reduce this risk? (Select all that apply.)

A nurse is assessing a client who is in labor and notes that the fetal head is visible at the vaginal opening but does not advance with pushing. The nurse should identify this finding as which of the following?

A nurse is providing discharge teaching to a client who had a ruptured uterus and a hysterectomy during labor.

Which of the following instructions should the nurse include in the teaching? (Select all that apply.)