A nurse is caring for a postpartum client in an outpatient setting.
Complete the following sentence by using the lists of options.
The client is at highest risk for developing
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
The client is at highest risk for developing mastitis as evidenced by the client'scracked nipple.
Rationale
The client has visible cracks on the left nipple, which is a key risk factor for mastitis. Cracked nipples can allow bacteria to enter the breast tissue during breastfeeding, leading to mastitis, especially if the nipples are not healing properly or the breastfeeding technique is suboptimal. The client also reports nipple discomfort throughout breastfeeding, which increases the likelihood of mastitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A noncoring needle is specifically designed to access venous access ports without damaging the port, making it the appropriate choice.
B. An angiocatheter is used for peripheral IV insertion, not for accessing an implanted port.
C. A butterfly needle is used for short-term venous access, not for implanted ports.
D. A 25-gauge needle is too small for accessing an implanted port and would not be effective.
Correct Answer is B
Explanation
A. Lying down in a quiet room may not be the best approach as it may isolate the client further. A more active approach is needed to engage with the client.
B. Asking the client directly what they are hearing helps assess the content of the hallucinations and can
provide insight into the client’s experience.
C. Avoiding eye contact may increase anxiety or suggest a lack of concern. Maintaining appropriate eye contact is generally supportive.
D. Referring to hallucinations as real can reinforce delusions and is not therapeutic.
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