nurse is contributing to the plan of care for a client who is postpartum and has mastitis. Which of the following actions should the nurse plan to take?

Prepare the client for an abdominal sonogram.

Encourage the client to continue to breastfeed

Encourage the client to wear a bra that is loose fitting

Limit the client's daily fluid intake.

Answer and Explanation

The Correct Answer is B

(A) Prepare the client for an abdominal sonogram:
An abdominal sonogram is not relevant for diagnosing or treating mastitis, which is an infection of the breast tissue. Mastitis typically requires assessment of the breast and possibly a breast ultrasound if an abscess is suspected, but not an abdominal sonogram.

(B) Encourage the client to continue to breastfeed:
Continuing to breastfeed is recommended for clients with mastitis. Breastfeeding helps to drain the breast and can speed up recovery. It also helps to prevent complications such as breast abscess and supports continued milk production.

(C) Encourage the client to wear a bra that is loose fitting:
While wearing a comfortable bra is important, a loose-fitting bra may not provide the necessary support for engorged or painful breasts. A well-fitting, supportive bra is usually recommended to provide comfort without being too tight, which can exacerbate symptoms.

(D) Limit the client's daily fluid intake:
Limiting fluid intake is not recommended and is not beneficial for treating mastitis. Adequate hydration is important for overall health and helps maintain milk supply. Encouraging the client to drink plenty of fluids is essential for recovery and continued breastfeeding.

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Correct Answer is C

Explanation

(A) Lie in a left side lying position for 30 min after meals:
While lying on the left side can sometimes help alleviate heartburn, it's generally recommended to elevate the head and upper body during sleep, especially if heartburn worsens at night. Lying down immediately after meals can actually exacerbate heartburn symptoms.

(B) Drink a cup of black coffee before breakfast:
Drinking black coffee can exacerbate heartburn symptoms due to its acidic nature and caffeine content. It is not recommended for individuals experiencing frequent heartburn, especially during pregnancy.

(C) Take sips of milk between meals:
Taking sips of milk between meals can help neutralize stomach acid and provide temporary relief from heartburn symptoms. However, it's essential to avoid drinking large quantities of milk at once, as this can lead to increased stomach acid production.

(D) Eat three large meals per day:
Eating large meals can increase pressure on the stomach and exacerbate heartburn symptoms. Instead of consuming three large meals, it's better to eat smaller, more frequent meals throughout the day to help prevent heartburn.

A. Touch the corner of the newborn's mouth. B. Place the newborn supine and apply pressure to the soles of the feet. C. Stroke upward on the lateral aspect of the sole of the newborn's foot D. Pull the newborn up by the wrist from a supine position.

Correct Answer is C

Explanation

(a) Touch the corner of the newborn's mouth:
Touching the corner of the newborn's mouth elicits the rooting reflex, not the Babinski reflex. The rooting reflex causes the newborn to turn their head toward the touch and open their mouth, which helps with feeding.

(b) Place the newborn supine and apply pressure to the soles of the feet:
Applying pressure to the soles of the feet is not a method used to elicit the Babinski reflex. This action might influence other reflexes but not the Babinski.

(c) Stroke upward on the lateral aspect of the sole of the newborn's foot:
This is correct. The Babinski reflex is elicited by stroking upward on the lateral aspect of the sole of the newborn's foot. A positive response is the fanning and extension of the toes, which is normal in newborns.

(d) Pull the newborn up by the wrist from a supine position:
Pulling the newborn up by the wrists from a supine position is used to assess the traction response or pull-to-sit maneuver, which tests the newborn's head control and muscle tone, not the Babinski reflex.

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nurse is contributing to the plan of care for a client who is postpartum and has mastitis. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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