A nurse is caring for a client who had a vaginal delivery 4 hours ago and reports perineal pain of 6 on a scale of 0 to 10. Which of the following actions should the nurse take?

Apply a corticosteroid cream to the perineal area twice daily.

Increase the client’s fluid intake for 48 hours.

Catheterize the client’s bladder.

Offer an ice pack to the client during the first 24 hours.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Applying a corticosteroid cream is not appropriate for acute perineal pain. It is more suitable for chronic inflammation or skin conditions.

Choice B rationale

Increasing fluid intake is beneficial for overall health, but it does not directly address acute perineal pain.

Choice C rationale

Catheterizing the bladder is not indicated for perineal pain unless there is a specific issue with urinary retention.

Choice D rationale

Offering an ice pack helps reduce swelling and numb the area, providing immediate relief for acute perineal pain. It is a standard intervention for postpartum perineal discomfort.

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Correct Answer is D

Explanation

Choice A rationale

Tetracycline is contraindicated in pregnancy due to its potential to cause fetal harm, including teeth discoloration and inhibition of bone growth.

Choice B rationale

Acyclovir is an antiviral medication used to treat herpes infections, not chlamydia.

Choice C rationale

Metronidazole is used to treat bacterial vaginosis and trichomoniasis, not chlamydia.

Choice D rationale

Amoxicillin is a safe and effective antibiotic for treating chlamydia in pregnant women. It is preferred due to its safety profile and effectiveness.

A. “You will not be able to eat or drink anything for 8 hours prior to the test.”. B. “You will press the provided button when you feel the baby moving during the test.”. C. “You will be required to lie flat on your back for the duration of the test.”. D. “You will receive medication through an IV line to stimulate contractions.”. .

Correct Answer is B

Explanation

Choice A rationale

There is no need to fast before a nonstress test. The test measures the fetal heart rate in response to fetal movements and does not require any dietary restrictions.

Choice B rationale

During a nonstress test, the client will press a button whenever they feel the baby move. This helps correlate fetal movements with heart rate changes.

Choice C rationale

The client is not required to lie flat on their back for the duration of the test. They can be in a semi-reclined position to ensure comfort and avoid supine hypotensive syndrome.

Choice D rationale

Medication to stimulate contractions is not used during a nonstress test. This is done during a contraction stress test, which is a different procedure.

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A nurse is caring for a client who had a vaginal delivery 4 hours ago and reports perineal pain of 6 on a scale of 0 to 10. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia. Which of the following medications should the nurse plan to administer?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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