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 B

Explanation

A. Incorrect. A nonstress test does not require medication or an IV; it is a non-invasive test that monitors fetal heart rate.

B. Correct. A nonstress test typically lasts about 20-30 minutes.

C. Incorrect. There are no dietary restrictions for a nonstress test; eating or drinking is not prohibited.

D. Incorrect. A nonstress test assesses fetal heart rate response to fetal movements and is not used to determine lung maturity.

A. Hypotonicity B. Moderate tremors of the extremities C. Axillary temperature 36.1° C (96.9° F) D. Excessive sleeping

Correct Answer is B

Explanation

A. Hypotonicity.: Incorrect. Opioid withdrawal in newborns typically presents with hypertonicity (increased muscle tone) rather than hypotonicity.

B. Moderate tremors of the extremities.: Correct. Newborns experiencing opioid withdrawal often exhibit tremors or jitteriness in the extremities as part of the withdrawal symptoms.

C. Axillary temperature 36.1° C (96.9° F).: Incorrect. Opioid withdrawal does not usually cause hypothermia. Newborns with withdrawal may have a normal or slightly elevated temperature.

D. Excessive sleeping.: Incorrect. Excessive sleeping is not a typical symptom of opioid withdrawal; rather, newborns with withdrawal might experience irritability and difficulty sleeping.

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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.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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