Answers
SITUATION I
Question 1:

Question 2:

Other answers:
-Nurse to teach patient to keep perineal area dry and change perineal pads frequently.
-Nurse to administer antibiotic cream or ointment as ordered q shift.
-Nurse to encourage bed rest and avoid full bladder.
SITUATION II
Question 1:

Question 2:

SITUATION III
Question 1:

SITUATION IV
Question 1:

Other possible answer for nursing directives:
1 - Notify nurse if wound deteriorates or if any signs of infection
2 - Nurse to assess pain management q 2 days
Question 2:

SITUATION V
Question 1:

Other nursing directive:
-Notify nurse if > 3 breakthrough doses of morphine administered qd
Question 2:

Other possible answer on priority problem: Reluctancy on taking analgesics or lack of knowledge regarding analgesics