When developing the plan of care for a woman who has had an abdominal hysterectomy, the nurse would identify which action as contraindicated?
encouraging range-of-motion exercises
ambulating the client
applying elasticized stockings
massaging the client's legs
The Correct Answer is C
A. Encouraging range-of-motion exercises: Range-of-motion exercises are generally encouraged post-hysterectomy to prevent complications such as blood clots and promote circulation. This action is appropriate and not contraindicated.
B. Ambulating the client: Ambulation is an essential aspect of postoperative care to prevent complications like atelectasis, pneumonia, and deep vein thrombosis (DVT). This action helps improve circulation and aids in the recovery process. It is appropriate and not contraindicated.
C. Applying elasticized stockings: Elasticized stockings, also known as compression stockings, are commonly used postoperatively to prevent deep vein thrombosis (DVT) by promoting blood flow in the legs. However, in the case of abdominal hysterectomy, if the incision site is below the level of the stockings, they may impede circulation to the surgical site and hinder wound healing. Therefore, this action may be contraindicated depending on the specific circumstances of the surgery and incision site.
D. Massaging the client's legs: Massaging the client's legs is generally not recommended post-hysterectomy, especially in the immediate postoperative period. Manipulating the legs could potentially disrupt healing tissues, increase the risk of bleeding, or cause discomfort to the client. Therefore, this action may be contraindicated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Asian Americans as having the highest teen birth rate:
This statement is incorrect. Asian Americans generally have lower teen birth rates compared to other racial/ethnic groups in the United States. Incorporating inaccurate information into the presentation may lead to misunderstanding or misrepresentation of the issue.
B. Loss of self-esteem as a major impact:
While loss of self-esteem can be a consequence of adolescent pregnancy, it may not be considered a major impact in all cases. Adolescent pregnancy can have diverse and complex impacts on individuals, including social, economic, and psychological effects. While addressing the psychosocial aspects of adolescent pregnancy is important, loss of self-esteem may not be the primary focus of the presentation.
C. Rise in teen birth rates over the years:
Providing information about the trend of teen birth rates over time helps to contextualize the issue and highlight its significance. This aspect can include discussing historical trends, recent changes, and factors contributing to fluctuations in teen birth rates.
D. About half occurring within a year of first sexual intercourse:
This statistic underscores the importance of sexual health education and contraception access for adolescents. Understanding the timing of pregnancies in relation to sexual debut can inform interventions aimed at preventing unintended pregnancies among teenagers.
E. Peer pressure to become sexually active:
Peer pressure is a significant influence on adolescent behavior, including decisions related to sexual activity. Addressing peer pressure in the context of adolescent pregnancy allows for discussion about the social and emotional factors that contribute to teen pregnancies and the importance of developing healthy coping strategies and assertiveness skills.
Correct Answer is A
Explanation
A. Alcohol:
Metronidazole interacts with alcohol, leading to a disulfiram-like reaction. This reaction can cause unpleasant symptoms such as flushing, headache, nausea, vomiting, and rapid heart rate. It's crucial for clients taking metronidazole to avoid consuming alcohol to prevent these adverse reactions.
B. Caffeine:
There are no known significant interactions between metronidazole and caffeine. Therefore, clients taking metronidazole do not typically need to avoid caffeine-containing products.
C. Chocolate:
There are no known significant interactions between metronidazole and chocolate. Therefore, clients taking metronidazole do not typically need to avoid chocolate consumption.
D. Nicotine:
There are no known significant interactions between metronidazole and nicotine. Therefore, clients taking metronidazole do not typically need to avoid nicotine consumption, such as smoking or using nicotine replacement products.
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