What would be the nurses most appropriate nursing intervention for a patient with an episiotomy:
Apply a warm compress
Apply Ice pad or pack
Vital signs every two hours
Early ambulation
The Correct Answer is B
A. Apply a warm compress: Warm compresses are used to relieve muscle tension or promote circulation, but immediately after an episiotomy, warmth can increase swelling and discomfort rather than provide pain relief.
B. Apply ice pad or pack: Applying an ice pack to the perineal area immediately postpartum helps reduce swelling, inflammation, and discomfort at the episiotomy site. Cold therapy provides local vasoconstriction, which minimizes edema and offers pain relief during the first 24 hours.
C. Vital signs every two hours: Monitoring vital signs is important for detecting systemic complications, but it does not directly address perineal pain, edema, or wound care for an episiotomy.
D. Early ambulation: Early ambulation promotes circulation and reduces the risk of thromboembolism, but it should be initiated only after pain is managed and the patient can safely mobilize without exacerbating perineal discomfort.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. To decrease inflammation: While some prostaglandins (like those inhibited by NSAIDs) are involved in inflammation, Prostaglandin E1 (PGE_1) is used in neonates specifically for its effects on vascular smooth muscle.
B. To control pain: Prostaglandin E does not have analgesic properties and is not used for pain management in neonates with heart defects.
C. To decrease respirations: Prostaglandin E does not act as a respiratory depressant; it does not directly influence respiratory rate.
D. To improve oxygenation: In conditions like coarctation of the aorta or ductus-dependent congenital heart defects, prostaglandin E1 maintains patency of the ductus arteriosus. This allows continued blood flow between the pulmonary artery and aorta, improving systemic perfusion and oxygen delivery to vital organs until surgical correction can be performed.
Correct Answer is ["2"]
Explanation
The question asks for the number of phenytoin capsules to administer per dose based on the prescribed dose and available capsule strength.
- Convert the ordered dose to milligrams
0.2 g × 1,000 = 200 mg
- Identify the available capsule strength
Available Capsule Strength: 100 mg/capsule
- Calculate the number of capsules per dose
Number of Capsules = Dose ÷ Capsule Strength
= 200 ÷ 100
= 2 capsules
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