A young mother, who has just delivered her infant two days ago, ...

[cherise1989]

A young mother, who has just delivered her infant two days ago, is scheduled to be discharged today. The client has a particularly painful episiotomy, but refuses to take any medication because she is breastfeeding her infant.
 
  Which of the following will the nurse teach the mother to help with episiotomy pain? Select all that apply. Standard Text: Select all that apply. 1. Warm sitz baths
  2. Feed the baby while lying flat.
  3. Use a doughnut to sit on.
  4. Reconsider pain medications.
  5. Use cooling analgesic pads on the episiotomy.

Question 2

A family member asks the nurse why the elderly client in a long-term care facility is not receiving daily baths. Which of the following is the best response by the nurse?
 
  1. Daily bathing of the elderly can interfere with normal skin lubrication.
  2. Daily bathing can cause the elderly to chill, predisposing them to infection.
  3. Many of the clients here are not active enough to require daily bathing.
  4. The clients do not like to have daily baths.

[nicoleclaire22]

Answer to Question 1

1,3,5
Rationale: Warm sitz baths, a doughnut for sitting, and analgesic pads are all ways to reduce the discomfort of the episiotomy. Lying flat to feed the baby will not reduce pain associated with an episiotomy. Asking the mother to reconsider medications is not appropriate, because the client has the right to make her own decisions, as long as they are informed decision regarding medications that are available that would not hurt the baby when breastfeeding. The client does not wish to take medications and should not be pressured to do so.

Answer to Question 2

1
Rationale: The elderly client's skin dries as part of the aging process, and has inadequate lubrication, which can be damaged by daily bathing. The nurse can bathe the client without risking hypothermia by performing the bath properly. The clients might not need or want a daily bath, but that is not the science behind why the bath is not done daily, and would not be an appropriate response to the family.

[cherise1989]

TYSM

[matt95]

Excellent