A client who is multiparous on the postpartum unit reports intense cramping while breastfeeding. What instruction should the nurse provide to this client?
Take a prescribed analgesic an hour prior to breastfeeding.
Change the infant's position during the next feeding.
Drink two glasses of water 30 minutes prior to breastfeeding.
Void and completely empty bladder before each feeding.
The Correct Answer is A
Choice A: Taking a prescribed analgesic an hour prior to breastfeeding can help alleviate the client's intense cramping while breastfeeding. This approach can provide effective pain relief.
Choice B: Changing the infant's position during the next feeding may or may not address the underlying cause of the client's intense cramping. Pain relief through medication is a more direct intervention.
Choice C: Drinking water before breastfeeding is important for hydration but may not directly address the cramping issue.
Choice D: Voiding and emptying the bladder before each feeding is a routine practice but is not specifically aimed at relieving cramping during breastfeeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: cottage cheese has about 364 mg of sodium per 100 g, which is much higher than the other options.
Choice B: Broccoli is a generally healthy vegetable and does not need to be avoided solely for sodium intake unless heavily salted. Broccoli has only 33 mg of sodium per 100g.
Choice C: Ground sirloin has 75 mg of sodium per 100g which is much lower than that contained by cottage cheese.
Choice D: Bananas are a low-sodium food and do not need to be avoided for sodium intake.
Correct Answer is C
Explanation
Choice A: Withholding the antacid until the client gets indigestion is not appropriate because the primary purpose of aluminum hydroxide in CKD is to bind to phosphates in foods and reduce their absorption. It is not primarily used for indigestion.
Choice B: While CKD can lead to disturbances in gastric acid secretion, aluminum antacids are primarily used in CKD to control hyperphosphatemia by binding to phosphates in the gastrointestinal tract. Their role is not primarily related to gastric acid control.
Choice C: This response provides the most appropriate rationale. Aluminum antacids are often prescribed to CKD clients to prevent the absorption of dietary phosphates, which can contribute to hyperphosphatemia in CKD.
Choice D: Simply informing the healthcare provider that the client does not want to take the antacid is not the most informative response, as it does not address the rationale behind the medication use in CKD.
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