A nurse is teaching a client who is breastfeeding and has mastitis. Which of the following responses should the nurse make?

Limit the amount of time the infant nurses on each breast.

Nurse the infant only on the unaffected breast until resolved.

Completely empty each breast at each feeding or use a pump.

Wear a tight-fitting bra until lactation has ceased.

Answer and Explanation

The Correct Answer is C

A. Limit the amount of time the infant nurses on each breast: Shortening feeding sessions can lead to incomplete emptying of the breasts, increasing milk stasis and worsening mastitis. Adequate drainage is essential to reduce infection risk and promote healing.

B. Nurse the infant only on the unaffected breast until resolved: Avoiding the affected breast can lead to engorgement, further milk stasis, and prolonged infection. Continuing to feed from both breasts helps maintain milk flow and relieves pressure in the infected area.

C. Completely empty each breast at each feeding or use a pump: Full emptying of the breasts reduces milk stasis, which is a primary factor contributing to mastitis. Frequent and effective milk removal helps resolve inflammation, decreases bacterial proliferation, and supports ongoing lactation.

D. Wear a tight-fitting bra until lactation has ceased: Tight or restrictive bras can compress breast tissue, impair milk flow, and exacerbate mastitis. Loose, supportive bras are recommended to allow adequate drainage and comfort.

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Correct Answer is A

Explanation

A. Measles: Measles is a highly contagious viral infection transmitted via airborne droplets. Implementing airborne precautions, including placement in a negative-pressure room and use of an N95 respirator, is essential to prevent spread to other patients and healthcare personnel.

B. Streptococcus group A: Group A Streptococcus infections, such as strep throat, are transmitted primarily through respiratory droplets, not airborne particles. Standard and droplet precautions are typically sufficient.

C. Rubella: Rubella is transmitted via droplets, requiring droplet precautions rather than full airborne precautions. Airborne measures are not necessary unless there is uncertainty about transmission mode.

D. Scarlet fever: Scarlet fever is caused by group A Streptococcus and is spread through respiratory droplets. Droplet precautions, rather than airborne precautions, are adequate for infection control in hospitalized children.

A. requires that the first dose be taken within 72 hours of unprotected intercourse B. requires that the woman take second and third doses at 24 and 36 hours after the first dose C. must be taken in conjunction with an IUD insertion D. most states require the woman to have a valid prescription

Correct Answer is D

Explanation

A. Requires that the first dose be taken within 72 hours of unprotected intercourse: While some emergency contraceptives like Plan B are most effective within 72 hours, Ella (ulipristal acetate) can be effective up to 120 hours after unprotected intercourse, so the 72-hour limitation does not apply universally.

B. Requires that the woman take second and third doses at 24 and 36 hours after the first dose: This dosing schedule applies to older multi-dose regimens of levonorgestrel, not to single-dose emergency contraceptives like Ella or the one-dose Next Choice, which do not require multiple follow-up doses.

C. Must be taken in conjunction with an IUD insertion: Emergency contraceptive pills function independently to prevent ovulation or fertilization and do not require an IUD insertion. IUDs can also be used as emergency contraception, but they are a separate method.

D. Most states require the woman to have a valid prescription: Ella is prescription-only in many states, and the requirement for a prescription differentiates it from over-the-counter emergency contraceptives like Plan B, making this the accurate regulatory consideration for its use.

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A nurse is teaching a client who is breastfeeding and has mastitis. Which of the following responses should the nurse make?

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Explanation

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