What instructions should be included in the discharge teaching ...

[shenderson6]

What instructions should be included in the discharge teaching plan to assist the patient in recognizing early signs of complications?
 
  a. Palpate the fundus daily to ensure that it is soft.
  b. Notify the physician of any increase in the amount of lochia or a return to bright
  red bleeding.
  c. Report any decrease in the amount of brownish red lochia.
  d. The passage of clots as large as an orange can be expected.

Question 2

When using the Poker Chip Tool, it is important for the nurse to know that
 
  a. Any number of chips can be used.
  b. Only a specified number of chips can be used.
  c. The assessment tool is used with adolescents.
  d. The assessment tool is most effectively used with 2-year-old children.

[whitcassie]

Answer to Question 1

B
Feedback
A The fundus should stay firm.
B An increase in lochia or a return to bright red bleeding after the lochia has
become pink indicates a complication.
C The lochia should decrease in amount.
D Large clots after discharge are a sign of complications and should be reported.

Answer to Question 2

B
Feedback
A Pain tools are valid only if used as directed. The poker chip tool uses four chips.
B In the poker chip tool, four chips are used to represent a hurt. One chip
represents a little hurt, and four chips represent the most hurt the child could
have.
C Adolescents are able to think abstractly. They can describe, quantify, and identify
intensity and feelings about pain. This scale is recommended for children ages 4
to 12 .
D Self-report tools are effective in children older than 3 years of age, not 2 years of
age.