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":"A","dropdown-group-2":"B"}
Mastitis is a breast infection that can occur in breastfeeding women. It causes inflammation, pain, redness, and sometimes fever and pus in the affected breast. One of the risk factors for mastitis is nipple trauma, such as cracks or fissures, that can allow bacteria to enter the breast tissue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Making the child NPO is not necessary for an EEG procedure.
B. Ensuring the child's hair is clean and without conditioner helps to optimize the quality of the EEG recording by reducing interference from oils and residues on the scalp.
C. There is no need to restrict the child from sun exposure following an EEG procedure.
D. Acetaminophen is not typically indicated for pain relief following an EEG procedure, as it is non-invasive and generally well-tolerated.
Correct Answer is D
Explanation
A. While completing an incident report is important for addressing the medication error and implementing corrective actions, the immediate priority is to assess the client's condition for signs of bleeding, which could be life-threatening.
B. Monitoring aPTT levels is important to assess the client's response to heparin therapy, but it does not address the immediate risk of bleeding from the overdose.
C. Notifying the risk manager is essential for reporting the medication error and implementing strategies to prevent future occurrences, but the nurse's first action should be to assess the client's condition for any indications of bleeding.
D. Administering a high dose of heparin increases the risk of bleeding, so the nurse should first assess the client for any signs or symptoms of bleeding, such as unexplained bruising, hematuria, or hypotension, to ensure timely intervention and prevent complication.
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