You're a hospitalist in a large referral hospital, and you have just discharged a patient who suffered a stroke due to high blood pressure. You've used many strategies, such as Ask-Tell-Ask, shared decision making, and brief action planning with the patient. The patient's primary care doctor says he will follow up with the patient. Two weeks later, the patient is back in the hospital, and you find out the primary care doctor never followed up. What's the best thing to do next?

If a client required an extensive episiotomy because her newborn was large. The priority nursing intervention that minimizes edema and lessens discomfort at the episiotomy site is: Applying ice packs to the perineum

Edema occur due to the accumulation or build up of fluid which in turn lead to the swelling of the affected person tissue.

Perineum is located around the opening of the female vulva and this the area where a woman often have tears during delivery or during child birth and in some case the perineum can as well rupture.

It is advisable to apply ice packs to the perineum so as to reduce the risks of developing edema and to reduce any form of slight pain that may arise around perineum due to the tears.

Inconclusion if a client required an extensive episiotomy because her newborn was large. The priority nursing intervention that minimizes edema and lessens discomfort at the episiotomy site is: Applying ice packs to the perineum.

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