A nurse is reinforcing teaching with a client who is 12 hr postpartum and has an episiotomy.
Which of the following instructions should the nurse include?
Cleanse the perineal area from back to front.
Wash the perineal area with povidone-iodine twice daily.
Change the perineal pad with each void.
Wipe the perineal area with a soft towel.
Wipe the perineal area with a soft towel.
The Correct Answer is C
A. Cleansing the perineal area from back to front can introduce bacteria from the rectum to the urinary tract, increasing the risk of infection. Front to back is the recommended direction for cleansing.
B. Washing the perineal area with povidone-iodine twice daily may be too frequent and could potentially irritate the area. Gentle cleansing with warm water is typically recommended.
C. Changing the perineal pad with each void helps to maintain cleanliness and prevent infection by reducing the buildup of moisture and bacteria.
D. Wiping the perineal area with a soft towel is appropriate for gentle cleansing but does not address the importance of changing the perineal pad regularly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Decreased blood pressure is not typically associated with acute glomerulonephritis. In fact, hypertension is a common finding in this condition.
B. Pale yellow urine is a nonspecific finding and is not typically associated with acute glomerulonephritis.
C. Periorbital edema, which is swelling around the eyes, is a classic manifestation of acute glomerulonephritis due to fluid retention and is caused by impaired kidney function.
D. Increased urination is not a typical finding in acute glomerulonephritis. Instead, oliguria or decreased urine output is more common due to decreased glomerular filtration rate.
Correct Answer is A
Explanation
A. Correct. Viral pneumonia can be highly contagious, so placing the client in a private room can help prevent the spread of the infection to other patients.
B. Incorrect. Azithromycin is an antibiotic typically used for bacterial infections and would not be indicated for viral pneumonia.
C. Incorrect. Pneumococcal immunization is effective for preventing bacterial pneumonia caused by Streptococcus pneumoniae but is not indicated for viral pneumonia.
D. Incorrect. Limiting fluid intake to 1 L per day is not appropriate for a client with viral pneumonia, as adequate hydration is important for supporting the body's immune response and preventing dehydration.
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