A nurse is reinforcing teaching with a client who is 12 hr postpartum and has an episiotomy.
Which of the following instructions should the nurse include?

Cleanse the perineal area from back to front.

Wash the perineal area with povidone-iodine twice daily.

Change the perineal pad with each void.

Wipe the perineal area with a soft towel.

Answer and Explanation

The Correct Answer is C

A.   Cleansing the perineal area from back to front can introduce bacteria from the rectum to the urinary tract, increasing the risk of infection. Front to back is the recommended direction for cleansing.
B.   Washing the perineal area with povidone-iodine twice daily may be too frequent and could potentially irritate the area. Gentle cleansing with warm water is typically recommended.
C.   Changing the perineal pad with each void helps to maintain cleanliness and prevent infection by reducing the buildup of moisture and bacteria.
D.   Wiping the perineal area with a soft towel is appropriate for gentle cleansing but does not address the importance of changing the perineal pad regularly.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Correct. An oil-based lubricant is used to facilitate the insertion of the nasogastric tube through the nasal passages into the stomach.
B. Incorrect. An enteric feeding pump is not necessary for nasogastric tube insertion for gastric decompression. It is used for enteral feeding, not tube insertion.
C. Incorrect. While sterile gloves are important for maintaining aseptic technique during the procedure, they are not specific to nasogastric tube insertion and decompression.
D. Incorrect. pH strips are used to measure the acidity or alkalinity of a substance and are not typically needed for nasogastric tube insertion for gastric decompression.

A. Infant bassinets should be positioned 24 in (2 feet) apart. B. Staff should avoid using alcohol-based hand rubs to perform hand hygiene. C. Visitors who have an upper respiratory infection should wear a mask. D. Pumped breastmilk can be left at room temperature for 5 hr.

Correct Answer is C

Explanation

A. Incorrect. While proper spacing of infant bassinets is important for infection control, this specific distance (24 inches) may not be universally applicable and may vary depending on the facility's protocols.
B. Incorrect. Alcohol-based hand rubs are recommended for hand hygiene in healthcare settings, as they are effective against a broad range of pathogens. They should not be avoided unless contraindicated due to specific circumstances.
C. Correct. Visitors with upper respiratory infections can spread respiratory viruses to vulnerable newborns, so wearing a mask can help prevent transmission.
D. Incorrect. Pumped breastmilk can typically be left at room temperature for a shorter duration, usually up to 4 hours, to maintain its safety and quality.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reinforcing teaching with a client who is 12 hr postpartum and has an episiotomy. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to insert a nasogastric tube for a client who has a prescription for gastric decompression. Which of the following supplies should the nurse obtain prior to the procedure?

Correct Answer is A

Explanation

A nurse on a maternal newborn unit is assisting with the preparation of an in-service presentation about infection control. Which of the following Information should the nurse recommend to include?

Correct Answer is C

Explanation

A nurse is collecting data from a client who has hepatitis A. Which of the following findings should the nurse expect?

A nurse is collecting data from a child who has acute glomerulonephritis. Which of the following findings should the nurse expect?

A nurse is admitting a client who is scheduled for an elective surgery. Which of the following actions should the nurse take to verify the status of the client's advance directives?

A nurse is planning to reinforce teaching with a preschooler who is about to undergo an incision and drainage for cellulitis on the left arm. Which of the following techniques should the nurse use?

A nurse is caring for a client who is newly diagnosed with type 1 diabetes mellitus. The nurse should recognize that the client needs a referral for diabetic education when the client does which of the following?

A nurse is contributing to the plan of care for a client who has Parkinson's disease. Which of the following interventions should the nurse plan to include?

A nurse is reinforcing teaching with the parent of a newborn about security procedures. Which of the following instructions should the nurse include?

A nurse is reinforcing teaching with the parents of a preschool-age child who has a new diagnosis of celiac disease. Which of the following should the nurse recommend?

A nurse is reinforcing teaching with a client who is 12 hr postpartum and has an episiotomy.
Which of the following instructions should the nurse include?