Answer to Question 1
ANS: B
Normal saline is the only acceptable fluid for irrigation listed. The nurse should cleanse the wound with a forced stream of normal saline or water. Alcohol is not used for wound irrigation. Povidoneiodine is contraindicated for cleansing fresh, open wounds. Hydrogen peroxide can cause formation of subcutaneous gas when applied under pressure.
Answer to Question 2
ANS: A
The classic cesarean incision is made into the upper uterine segment. This part of the uterus contracts forcefully during labor, and an incision in this area may rupture in subsequent pregnancies. The client who had two vaginal deliveries and one cesarean is not a high-risk candidate. Low-segment transverse cesarean scars do not predispose her to uterine rupture. Low-segment incisions do not raise the risk of uterine ruptures.
The patient and his family meet with the nurse to discuss progress on the patient care plan.
In the communication technique of collaborating, the nurse sends the message that the nurse and pati
The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
Deep hip rotator muscles.