A nurse is providing discharge instructions to a client who had a cesarean delivery.
Which of the following statements by the client indicates an understanding of the teaching?
“I will avoid lifting anything heavier than my baby for the next 6 weeks.”
“I will avoid lifting anything heavier than my baby for the next 6 weeks.”
“I will take ibuprofen for pain relief as needed.”
“I will remove the dressing from my incision site tomorrow.”.
The Correct Answer is A
The correct answer is choice A. “I will avoid lifting anything heavier than my baby for the next 6 weeks.” This statement indicates that the client understands the importance of limiting physical activity and protecting the incision site from strain or injury. Lifting heavy objects can increase the risk of bleeding, infection, or wound dehiscence.
Choice B is wrong because resuming regular exercise routine as soon as getting home is not advisable after a C-section. The client should gradually increase activity levels and avoid strenuous exercises until cleared by the healthcare provider.
Choice C is wrong because ibuprofen may not be sufficient for pain relief after a C-section. The client may need stronger pain medications prescribed by the healthcare provider and should follow the instructions on how to take them safely.
Choice D is wrong because removing the dressing from the incision site tomorrow is too soon. The client should keep the incision site clean and dry and follow the healthcare provider’s instructions on when and how to change the dressing. Removing the dressing too early can increase the risk of infection or wound dehiscence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
“I can take ibuprofen or acetaminophen for pain relief.” This is because these are safe and effective medications for pain management after a C-section.
Choice A is wrong because driving is not recommended until the incision is healed and the pain is gone, which can take 4 to 6 weeks.
Choice B is wrong because lifting anything heavier than the baby can strain the incision and cause bleeding or infection.
Choice C is wrong because sexual intercourse should be avoided until the vaginal bleeding stops and the incision is healed, which can take 4 to 6 weeks or longer.
Correct Answer is C
Explanation
The correct answer is choice C) Encouraging coughing and deep breathing exercises.
This is because coughing and deep breathing exercises can help prevent atelectasis and pneumonia, which are common postoperative complications of C-section.
Coughing and deep breathing exercises also promote oxygenation and circulation.
Choice A) Administering an opioid analgesic is wrong because opioids can cause respiratory depression and sedation, which are not desirable before surgery.
Opioids can also cross the placenta and affect the fetus.
Choice B) Assessing for signs of deep vein thrombosis is wrong because this is not a priority intervention before surgery.
Deep vein thrombosis is more likely to occur after surgery due to immobility and venous stasis.
Choice D) Providing a high-carbohydrate meal is wrong because this can increase the risk of aspiration during surgery.
The client should be kept NPO (nothing by mouth) for at least 6 hours before surgery.
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