A nurse on a postpartum unit is caring for a client who is breastfeeding and experiencing breast engorgement. Which of the following interventions should the nurse plan to implement to promote comfort for this client?

Advise the client to avoid using a breast pump

Provide the client with ice packs for her breasts.

Encourage the client to wear a loose-fitting bra.

Applying purified lanolin to the breasts can help soothe and moisturize the nipples, making breastfeeding more comfortable and providing relief from breast engorgement.

Answer and Explanation

The Correct Answer is D

A)   Incorrect- Using a breast pump can actually help relieve breast engorgement by expressing excess milk, so this advice is not appropriate.
B)   Incorrect- Applying ice packs to the breasts can decrease milk production and might not provide as much relief as other interventions.
C)   Incorrect- Wearing a supportive, well-fitting bra is a good recommendation, but it might not provide enough relief for breast engorgement on its own.
D)   Correct - Applying purified lanolin to the breasts can help soothe and moisturize the nipples, making breastfeeding more comfortable and providing relief from breast engorgement.

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Correct Answer is A

Explanation

A) Correct - An elevated respiratory rate could indicate postpartum hemorrhage as the body compensates for decreased oxygen-carrying capacity due to blood loss.
B) Incorrect- An elevated temperature might indicate infection, but it is not a specific indication of postpartum hemorrhage.
C) Incorrect- A normal apical pulse rate does not specifically indicate or rule out postpartum hemorrhage.
D) Incorrect- An elevated blood pressure might occur for various reasons postpartum, including anxiety or pain, but it is not a specific indication of postpartum hemorrhage.

A. Administer methylergonovine IM. B. Assist the client to empty her bladder. C. Place the client in knee-chest position. D. Give a bolus of lactated Ringers.

Correct Answer is D

Explanation

A) Incorrect- Methylergonovine is used to treat postpartum hemorrhage due to uterine atony, not hypotension.
B) Incorrect- Emptying the client's bladder can help improve blood pressure but is not the priority over treating hypotension.
C) Incorrect- The knee-chest position might be used to increase blood pressure, but it is not the first-line intervention in this situation.
D) Correct - A bolus of lactated Ringers or another appropriate intravenous

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A nurse on a postpartum unit is caring for a client who is breastfeeding and experiencing breast engorgement. Which of the following interventions should the nurse plan to implement to promote comfort for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on the postpartum unit is caring for a client who delivered vaginally 3 hr ago. Which of the following manifestations is a possible indication of postpartum hemorrhage?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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