A nurse is teaching about how to suppress lactation with a client who is postpartum and bottle feeding their newborn. Which of the following instructions should the nurse include in the teaching?
"You should wear a snug-fitting bra continuously for 72 hours."
"You should apply moist heat to your breasts four times per day."
"You should limit your fluid intake to 1 liter per day."
"You should manually express milk when engorgement occurs."
The Correct Answer is A
A. "You should wear a snug-fitting bra continuously for 72 hours": Wearing a snug-fitting bra continuously for 72 hours can help suppress lactation by providing support and reducing stimulation to the breasts. This can help prevent milk production and engorgement.
B. "You should apply moist heat to your breasts four times per day": Moist heat can stimulate milk production and should be avoided when trying to suppress lactation.
C. "You should limit your fluid intake to 1 liter per day": Adequate hydration is important for overall health, and limiting fluid intake to 1 liter per day is not advisable, especially postpartum when hydration needs may be higher.
D. "You should manually express milk when engorgement occurs": Manual expression of milk can stimulate milk production and should be avoided when attempting to suppress lactation. If engorgement occurs, cold compresses or ice packs can be used to reduce discomfort without stimulating milk production.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Contact precautions are used for infections transmitted by direct or indirect contact with the client or their environment. Examples include MRSA, C. difficile, and other multidrug-resistant organisms.
B. Airborne precautions are used for infections transmitted by small droplets that remain suspended in the air and can be inhaled. Examples include tuberculosis (TB), measles, and chickenpox (varicella).
C. Protective environment precautions are typically used for clients with compromised immune systems, such as those undergoing stem cell transplants, to protect them from environmental pathogens.
D. Droplet precautions are used for infections transmitted by large respiratory droplets that can travel up to approximately 3 feet. Examples include bacterial meningitis, influenza, and pertussis. Therefore, the nurse should initiate droplet precautions for the school-age child with bacterial meningitis.
Correct Answer is A
Explanation
A. "You might feel a bit confused for a few hours after the procedure": Confusion is a common side effect of electroconvulsive therapy (ECT) immediately following the procedure. It typically resolves within a few hours as the effects of anesthesia wear off. Providing this information prepares the client for potential post-procedure effects.
B. "You might notice some changes in your voice after the procedure": Changes in voice are not typically associated with ECT. Therefore, this statement is not relevant to the client's education about what to expect during or after the procedure.
C. "You'll wake up about 30 minutes after the procedure": The duration of unconsciousness following ECT can vary from person to person. While clients typically awaken within minutes after the procedure, specifying a time frame of 30 minutes may not accurately reflect individual experiences.
D. "You can expect to feel some pulsations in your neck during the procedure": Feeling pulsations in the neck is not a common sensation experienced during ECT. This statement does not accurately describe the procedure or its associated sensations.
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