A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding. Which of the following statements by the client indicates a need for further teaching?

"I will apply ice packs to my breasts after feeding."

"I should apply hot packs to my breasts during feeding."

"I should crush cabbage leaves and place them on my breasts."

"I will breastfeed every 2 hours."

Answer and Explanation

The Correct Answer is B

A.   Applying ice packs to the breasts after feeding can help reduce swelling and discomfort associated with breast engorgement.
B.   Applying hot packs to the breasts during feeding can increase blood flow and exacerbate engorgement. Heat can worsen inflammation and discomfort in the breasts.

C.   Crushed cabbage leaves can be applied to the breasts between feedings to help reduce swelling and discomfort associated with engorgement.
D.   Breastfeeding every 2 hours helps to ensure frequent emptying of the breasts, which can help alleviate engorgement.

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Correct Answer is C

Explanation

A. Applying cold compresses is not indicated for pain and redness of the calf, which may
indicate deep vein thrombosis (DVT). Cold therapy is not recommended as it can worsen the condition.
B. Massaging the area is contraindicated in suspected DVT as it can dislodge a clot and lead to complications such as pulmonary embolism.
C. Elevating her leg helps to reduce swelling and improve venous return, which can alleviate symptoms of DVT and prevent further complications.
D. Flexing her knee while resting is not specifically indicated for the management of suspected DVT and may not address the underlying cause of pain and redness in the calf.

A. Change the perineal pad of a client who just transferred from labor and delivery. B. Observe an area of redness on the breast of a client who is 1 day postpartum. C. Monitor vital signs during admission of a client who has gestational hypertension. D. Provide a sitz bath to a client who has a fourth-degree laceration and is 2 days postpartum.

Correct Answer is A

Explanation

A. Changing the perineal pad is a task that can be safely delegated to an assistive personnel (AP) as it involves basic hygiene care and does not require nursing judgment.
B. Observing an area of redness on the breast may require nursing assessment and judgment to determine if further intervention is needed.
C. Monitoring vital signs during admission of a client with gestational hypertension requires nursing assessment and judgment to detect any signs of worsening condition or complications.
D. Providing a sitz bath to a client with a fourth-degree laceration requires nursing assessment and judgment to ensure appropriate wound care and pain management.

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A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding. Which of the following statements by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 7 days postpartum and calls the clinic to report pain and redness of her left calf. Besides seeing her provider, which of the following interventions should the nurse suggest?

Correct Answer is C

Explanation

A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?

Correct Answer is A

Explanation

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A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding. Which of the following statements by the client indicates a need for further teaching?

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