Author Question: A nurse is observing a student nurse prepare a sitz bath. Which actions should be performed by the ... (Read 56 times)

piesebel · **on:** Jun 28, 2018

A nurse is observing a student nurse prepare a sitz bath. Which actions should be performed by the student? (Select all that apply.)

A.
Confirm that the patient can ambulate to the bathroom.
B.
Fill the water bag with water heated to 120 F (48.9 C).
C.
Help the patient remove the peri-pad from front to back.
D.
Ensure that the patient is covered enough to prevent chilling.
E.
Place the sitz bath in the toilet with the overflow opening directed toward the front.

Question 2

The perinatal nurse teaches the student nurse that deep breathing exercises following cesarean birth are critical to the prevention of what complications? (Select all that apply.)

A.
Abdominal distension
B.
Atelectasis
C.
Increased tidal volume
D.
Pneumonia
E.
Pulmonary embolism

AISCAMPING · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, C, D
To properly prepare a sitz bath, first ensure that the patient is able to ambulate to the bathroom. The water should be heated to 105 F (41 C). Peri-pads are removed from front to back to prevent infection. The patient should be seated on the toilet where the sitz apparatus has been positioned so that the overflow opening is pointed toward the back of the toilet. The patient is covered to prevent chilling.

Answer to Question 2

ANS: B, D
Incisional pain and abdominal distension often cause patients to adopt shallow breathing patterns that can lead to decreased gas exchange and a reduced tidal volume. To facilitate adequate lung functions, patients should be taught how to perform pulmonary exercises. Expectoration of secretions and deep breathing help prevent common complications, including atelectasis and pneumonia. Abdominal distension and gas pains are common after abdominal surgery and result from delayed peristalsis. Coughing and deep breathing won't prevent pulmonary embolism.