A nurse is reinforcing discharge teaching with a client who had an abdominal hysterectomy 2 days ago. Which of the following instructions should the nurse include in the teaching?

"Take a shower rather than a tub bath."

"Avoid climbing stairs for 8 weeks."

"Douche with warm water to remove vaginal discharge."

"Expect bright red vaginal bleeding for 1 week following surgery."

Answer and Explanation

The Correct Answer is A

The correct answer is choice A, "Take a shower rather than a tub bath." This is a safety precaution to prevent infection . Choice B is incorrect because clients are encouraged to walk around after surgery to prevent blood clots. Choice C is incorrect because douching after surgery can increase the risk of infection. Choice D is incorrect because bright red vaginal bleeding after surgery warrants a followup with a healthcare provider. Choice B is not correct because clients are encouraged to walk around after surgery to prevent blood clots. Choice C is not correct because douching after surgery can increase the risk of infection. Choice D is not correct because bright red vaginal bleeding after surgery warrants a followup.

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Correct Answer is D

Explanation

The nurse should recommend the pneumococcal vaccine to the client, as this is recommended for all adults over the age of 65 to prevent pneumococcal disease. Choice A is incorrect because the tuberculosis vaccine is not routinely given to adults in the United States. Choice B is incorrect because the HPV vaccine is recommended primarily for young adults to prevent HPV-related cancers. Choice C is incorrect because the MMR vaccine is recommended for children, and most adults have already received it. Choice A is not correct because the tuberculosis vaccine is not routinely given to adults in the United States.

A. Total bilirubin 0.8 mg/dL B. BUN 40 mg/dL C. PaO2 90 mm Hg D. Hematocrit 45%

Correct Answer is B

Explanation

BUN 40 mg/dL. Elevated BUN levels can indicate impaired kidney function, which can be a potential adverse effect of long-term NSAID therapy.

Reasons why the other options are not answers:

Option A: Total bilirubin 0.8 mg/dL is a normal value and does not require reporting to the provider.

Option C: PaO2 90 mm Hg is within the normal range and does not require reporting to the provider.

Option D: Hematocrit 45% is within the normal range and does not require reporting to the provider.

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A nurse is reinforcing discharge teaching with a client who had an abdominal hysterectomy 2 days ago. Which of the following instructions should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

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