A nurse is caring for a client who is postpartum and reports perineal pain. Which intervention should the nurse implement?

Correct Answer: A

Rationale: Administering analgesics as prescribed is the appropriate intervention for managing perineal pain in a postpartum client. Analgesics help to alleviate discomfort and promote the client's recovery. Applying a warm compress (choice B) may provide some relief, but it does not address the pain as effectively as analgesics. Encouraging ambulation (choice C) and positioning the client with the head elevated (choice D) are not directly related to addressing perineal pain.

Correct Answer: C

Rationale: The correct answer is C: 'Use a mechanical lift to move a client.' Using a mechanical lift is an essential ergonomic principle to prevent injury and ensure safe client handling. Choice A is incorrect because standing with feet together when lifting a client can lead to instability and improper weight distribution. Choice B is incorrect as raising the client's head of bed before pulling the client up does not primarily relate to ergonomic principles. Choice D is incorrect because while using a gait belt is important for assisting clients with mobility, it is not specifically related to ergonomic principles for safe handling.

Correct Answer: D

Rationale: The correct answer is D. A high erythrocyte sedimentation rate (ESR) of 75 mm/hr indicates inflammation, which is common in rheumatoid arthritis. Elevated ESR levels are often seen in inflammatory conditions like rheumatoid arthritis. Options A, B, and C are within the normal range and are not typically indicative of active inflammation associated with rheumatoid arthritis. Therefore, the nurse should report the elevated ESR level to the provider for further evaluation and management.

Correct Answer: A

Rationale: The correct action for the nurse to take is to keep objects in the client's room in the same place. This helps individuals with vision loss navigate their environment more easily by creating a familiar and consistent layout. Choice B, ensuring high-wattage lighting, may not be suitable for all clients with vision loss and can cause discomfort or glare. Approaching the client from the side (Choice C) can startle them and is not recommended. Touching the client (Choice D) without warning may cause anxiety or distress, so it's important to announce presence verbally.

Correct Answer: C

Rationale: In this scenario, option C "Rise slowly when getting out of bed" is the correct statement for the nurse to make to a client with heart failure starting on furosemide. This instruction is crucial because furosemide is a diuretic that can cause a rapid drop in blood pressure, leading to orthostatic hypotension, especially in individuals with heart failure. By advising the client to rise slowly, the nurse helps prevent dizziness, lightheadedness, or falls that can result from sudden changes in position. Option A, stating that furosemide can cause high potassium levels, is incorrect. Furosemide is actually known for causing potassium depletion or hypokalemia, making it essential for clients to monitor their potassium levels and possibly supplement potassium. Option B, suggesting to eat foods high in sodium, is also incorrect. In heart failure, there is a need to reduce sodium intake to decrease fluid retention and strain on the heart. Consuming high-sodium foods can worsen the client's condition. Option D, indicating that furosemide can cause overhydration, is misleading. Furosemide is a diuretic that helps the body get rid of excess fluid, so it is used to reduce fluid overload in conditions like heart failure. Educationally, this question highlights the importance of understanding the pharmacological effects of furosemide and the specific care considerations for clients with heart failure. It emphasizes the significance of patient safety in medication management and the role of nurses in providing clear and accurate education to promote positive health outcomes.