A nurse is planning care for a client who is breastfeeding and has mastitis. Which of the following interventions should the nurse include? (Select all that apply.)

Instruct the client to wash their hands prior to breastfeeding.

Teach the client about proper latching-on techniques.

Encourage the client to alternate breastfeeding with formula feeding.

Instruct the client to avoid using a breast pump.

Encourage the client to allow their nipples to air dry after feedings.

Answer and Explanation

Correct Answer : A,E

A. Instruct the client to wash their hands prior to breastfeeding: Correct. Proper hand hygiene helps to prevent the spread of infection, which is important for a client with mastitis. Washing hands before breastfeeding is a crucial infection control measure.

B. Teach the client about proper latching-on techniques: Correct. Proper latching-on techniques can help prevent further complications and ensure effective milk removal, which can help in managing mastitis and preventing recurrence.

C. Encourage the client to alternate breastfeeding with formula feeding: Incorrect. Breastfeeding should continue as usual because it helps to empty the breast and relieve engorgement, which is crucial for managing mastitis. Formula feeding could exacerbate the problem by increasing engorgement.

D. Instruct the client to avoid using a breast pump: Incorrect. Using a breast pump can be beneficial for managing mastitis by helping to relieve engorgement and ensure proper milk drainage. The pump should be used correctly and hygienically.

E. Encourage the client to allow their nipples to air dry after feedings: Correct. Allowing the nipples to air dry helps prevent further irritation and infection. It is important for maintaining skin integrity and comfort during mastitis.

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Correct Answer is A

Explanation

A. Heart disease: Correct. Terbutaline, a tocolytic, is contraindicated in clients with heart disease due to its potential to cause tachycardia and other cardiovascular effects.

B. Cervical dilation of 2 cm: Incorrect. Cervical dilation of 2 cm is not a contraindication for terbutaline. It is relevant for evaluating the progression of labor but not for the use of this medication.

C. Gestational age of 34 weeks: Incorrect. Terbutaline can be used to manage preterm labor before 34 weeks, so this gestational age does not contraindicate its use.

D. Allergy to penicillin: Incorrect. Terbutaline is not related to penicillin, so an allergy to penicillin is not a contraindication for using terbutaline.

A. A client who gave birth 1 day ago and needs Rh(D) immune globulin B. A client who gave birth 3 days ago and reports breast fullness C. A client who gave birth 12 hr ago and reports an increase in urinary output D. A client who gave birth 8 hr ago and is saturating a perineal pad every hour

Correct Answer is D

Explanation

A. Incorrect. While the administration of Rh(D) immune globulin is important, it is not an immediate priority compared to more urgent postpartum concerns.

B. Incorrect. Breast fullness is common and usually resolves with proper breastfeeding or pumping; it does not generally indicate an immediate issue.

C. Incorrect. An increase in urinary output is a common physiological change after delivery and usually does not indicate an urgent issue.

D. Correct. Saturating a perineal pad every hour indicates heavy bleeding (potential postpartum hemorrhage) and requires immediate assessment and intervention to manage potential complications.

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A nurse is planning care for a client who is breastfeeding and has mastitis. Which of the following interventions should the nurse include? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing preterm labor and has a new prescription for terbutaline. Which of the following findings is a contraindication for administration of this medication?

Correct Answer is A

Explanation

A nurse on a postpartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?

Correct Answer is D

Explanation

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