A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following client statements indicates to the nurse that further teaching is needed??

"I am likely to have a fever during the first week I am home."

"I will call my provider if I have discharge from my incision."

"I should not have unrelieved pain in my abdomen."

"I will resume taking my prenatal vitamins."

Answer and Explanation

The Correct Answer is A

A.   Having a fever during the first week at home is not a normal or expected finding and may indicate an infection, requiring further assessment.
B.   Contacting the provider for incisional discharge is a proper response.
C. Not having unrelieved pain in the abdomen is an appropriate expectation.
D.   Resuming prenatal vitamins is a normal postoperative recommendation.

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Correct Answer is C

Explanation

A. A hot pack to the perineum can be offered after 24 hours, but not before, as heat can increase bleeding.
B. A warm sitz bath can be offered after 24 hours, but not before, as heat can increase bleeding and infection risk.
C. The nurse should also apply an ice pack to the perineum for 20 minutes every 4 hours to reduce swelling and inflammation.
D. Providing a squeeze bottle of antiseptic solution is more related to perineal hygiene rather than pain relief.

A. Turn the newborn on his side. B. Use a suction catheter with low negative pressure. C. Suction the mouth with a bulb syringe. D. Suction the nose with a bulb syringe

Correct Answer is C

Explanation

A. Turning the newborn on his side may be done after suctioning but is not the initial priority.
B. Using a suction catheter with low negative pressure may be appropriate, but a bulb syringe is commonly used for newborns.
C.Suctioning the mouth is a necessary step to ensure effective breathing.
D. Suctioningthe nose first may cause the infant to gasp and potentially draw the secretions present in the mouth into the airway, which could lead to aspiration.

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A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following client statements indicates to the nurse that further teaching is needed??

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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