A home health nurse is caring for a client who has unilateral mastitis and is experiencing discomfort in the affected breast. Which of the following Instructions should the nurse include?
Tell the client to apply hydrocortisone ointment to the affected area of the breast.
Recommend the client avoid wearing a nursing bra until symptoms resolve.
Suggest the client apply warm compresses to the affected breast.
Encourage the client to limit oral fluid intake to decrease milk production.
The Correct Answer is C
A) Incorrect- Hydrocortisone ointment is not typically recommended for treating mastitis, as it might not address the underlying infection.
B) Incorrect- Wearing a well-fitting, supportive nursing bra can actually help alleviate discomfort and is not typically contraindicated in cases of mastitis.
C) Correct - Applying warm compresses to the affected breast can help reduce pain and discomfort associated with mastitis. Warmth can improve blood flow and promote milk flow.
D) Incorrect- Encouraging the client to limit oral fluid intake to decrease milk production is not a recommended approach, as maintaining proper hydration is important, especially when dealing with infection.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect- Nifedipine is a calcium channel blocker used for conditions like high blood pressure, not for controlling postpartum bleeding.
B) Incorrect- Terbutaline is a bronchodilator and is not typically used for postpartum bleeding.
C) Correct - Oxytocin is a uterotonic medication often used to control excessive bleeding after childbirth. It helps the uterus contract and reduces the risk of postpartum hemorrhage.
D) Incorrect- Betamethasone is a corticosteroid used to enhance fetal lung maturity when given to pregnant clients at risk of preterm birth
Correct Answer is D
Explanation
A) Incorrect- Using a breast pump can actually help relieve breast engorgement by expressing excess milk, so this advice is not appropriate.
B) Incorrect- Applying ice packs to the breasts can decrease milk production and might not provide as much relief as other interventions.
C) Incorrect- Wearing a supportive, well-fitting bra is a good recommendation, but it might not provide enough relief for breast engorgement on its own.
D) Correct - Applying purified lanolin to the breasts can help soothe and moisturize the nipples, making breastfeeding more comfortable and providing relief from breast engorgement.
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