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. Request a prescription for PRN aspirin from the provider. B. Massage the injection site thoroughly following administration. C. Instruct the client that they cannot breastfeed while receiving heparin. D. Administer the injection in the client's abdomen.

Correct Answer is D

Explanation

A. Request a prescription for PRN aspirin from the provider.: Incorrect. Aspirin should not be given with heparin as it can increase the risk of bleeding.

B. Massage the injection site thoroughly following administration.: Incorrect. The injection site should not be massaged after administering heparin to avoid irritation and potential hematoma formation.

C. Instruct the client that they cannot breastfeed while receiving heparin.: Incorrect. Heparin is generally considered safe to use during breastfeeding, so there is no need to instruct the client to stop breastfeeding.

D. Administer the injection in the client's abdomen.: Correct. Subcutaneous heparin injections are typically administered in the abdomen to facilitate absorption and minimize 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 is caring for a client who is postpartum, has a deep-vein thrombosis, and is receiving heparin therapy via subcutaneous injections. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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