Nokea
A postpartum client who delivered via cesarean section expresses concerns about abdominal incision care and the prevention of wound complications. What nursing intervention should be prioritized to promote optimal incision healing?
- A. Providing education on proper incisional wound care techniques
- B. Administering prophylactic antibiotics to prevent infection
- C. Encouraging the use of abdominal binders for support and compression
- D. Instructing the client on the avoidance of heavy lifting and strenuous activity
Correct Answer: A
Rationale: Nursing intervention should prioritize providing education on proper incisional wound care techniques to promote optimal healing of the abdominal incision. This may include instructions on how to clean the incision site, signs and symptoms of infection, and when to seek medical attention. Proper wound care can help prevent complications such as infection and dehiscence, leading to better outcomes for the client. Administering prophylactic antibiotics, encouraging the use of abdominal binders, and instructing the client on activity restrictions are also important interventions, but educating the client on wound care techniques is crucial for their active participation in their recovery process.
You may also like to solve these questions
Population structure is a diagram of population typically presented in a pyramid-like style format based on ___________.
- A. Sex and educational attainment
- B. Age and civil status
- C. Age and fertility
- D. Age and sex
Correct Answer: D
Rationale: Population structure is a diagram that presents the distribution of a population based on age and sex. It is typically displayed in a pyramid-like style format, with the horizontal axis showing the age groups and the vertical axis showing the percentage or number of individuals in each age group, divided by sex. This helps to visualize how the population is distributed in terms of age and sex, providing important insights into demographic trends, such as age dependency ratio and potential future trends in population growth or decline. Age and sex are the key demographic variables used to construct a population structure diagram.
Primary care nursing is organized so that the patient is at the center of the structure. How many nurses have 24-hour responsibility for care planning and coordination?
- A. One
- B. Three
- C. Two
- D. Four
Correct Answer: A
Rationale: In primary care nursing, typically, one nurse is designated to have 24-hour responsibility for care planning and coordination for each patient. This helps ensure continuity of care and accountability. By having one nurse overseeing all aspects of the patient's care, it allows for a more personalized and coordinated approach that puts the patient at the center of the care structure. Having one primary care nurse also promotes better communication, efficiency, and consistency in managing the patient's health and well-being.
During a patient assessment, the nurse observes signs of distress and discomfort. What action should the nurse take to address the patient's needs?
- A. Ignoring the patient's distress to avoid making them uncomfortable
- B. Documenting the findings and informing the healthcare provider later
- C. Offering emotional support and actively listening to the patient's concerns
- D. Administering pain medication without further assessment
Correct Answer: C
Rationale: The correct action for the nurse to take when observing signs of distress and discomfort in a patient during assessment is to offer emotional support and actively listen to the patient's concerns. Ignoring the patient's distress may lead to worsening of the patient's condition and can be detrimental to the patient's well-being. Documenting the findings and informing the healthcare provider later is important but should not be the immediate response when a patient is in distress. Administering pain medication without further assessment is also not appropriate as the nurse needs to understand the underlying cause of the distress before providing appropriate interventions. Offering emotional support and actively listening to the patient's concerns can help the nurse understand the patient's needs, provide comfort, and potentially address the root cause of the distress.
Which of the following diagnostic tests is most appropriate for evaluating a woman with suspected cervical dysplasia?
- A. Pap smear
- B. Endometrial biopsy
- C. Colposcopy with biopsy
- D. Transvaginal ultrasound
Correct Answer: C
Rationale: Colposcopy with biopsy is the most appropriate diagnostic test for evaluating a woman with suspected cervical dysplasia. Colposcopy is a procedure in which a special magnifying instrument called a colposcope is used to examine the cervix for any abnormal areas. If abnormal tissue is identified during colposcopy, a biopsy will be taken to confirm the presence of cervical dysplasia and determine the severity. This allows for a more accurate diagnosis and appropriate management of the condition. Pap smear, although a screening test for cervical dysplasia, may not provide a definitive diagnosis and may require further evaluation with colposcopy and biopsy. Endometrial biopsy and transvaginal ultrasound are not indicated for evaluating cervical dysplasia specifically.
You encounter a conscious adult choking on a piece of food. The person is coughing forcefully but unable to speak or breathe effectively. What is the most appropriate action?
- A. Encourage continued coughing.
- B. Perform abdominal thrusts (Heimlich maneuver).
- C. Deliver back blows.
- D. Administer rescue breaths.
Correct Answer: B
Rationale: The most appropriate action in this situation is to perform abdominal thrusts, also known as the Heimlich maneuver. This technique is used to clear a blocked airway caused by a choking obstruction. Encouraging continued coughing may not be effective if the person is unable to dislodge the obstruction on their own. Delivering back blows can sometimes be effective, but abdominal thrusts are more commonly recommended in cases of choking in adults. Administering rescue breaths is not recommended if the person is conscious and able to cough, as it may worsen the situation by pushing the obstruction further down. By quickly performing abdominal thrusts, you can help dislodge the obstruction and potentially save the person's life.