On the fourth postpartum day, a client experiences breast engorgement. To relieve her discomfort, which of these nursing interventions is most effective to meet the expected outcome?

Remove the client's bra

Alternate with warm compresses and ice packs to the breasts

Administer acetaminophen as prescribed

Limit breastfeeding to twice a day

Answer and Explanation

The Correct Answer is B

A. Remove the client's bra: Incorrect. A well-fitted supportive bra helps reduce discomfort and swelling. Removing the bra may increase pain and worsen engorgement.

B. Alternate with warm compresses and ice packs to the breasts: Correct. Warm compresses before breastfeeding help with milk flow, and cold compresses after feeding reduce swelling and discomfort.

C. Administer acetaminophen as prescribed: Incorrect. While pain relief can help, it does not directly address the engorgement.

D. Limit breastfeeding to twice a day: Incorrect. Frequent breastfeeding or pumping is encouraged to relieve engorgement.

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Correct Answer is C

Explanation

A. IV fluids may be beneficial but do not directly address the fever.

B. Pyridoxine (Vitamin B6) is used for conditions like nausea in pregnancy, but it is not relevant for fever management.

C. Acetaminophen (Tylenol) is an antipyretic that helps reduce fever and improve comfort. Given the client's elevated temperature, treating the fever is the priority.

D. Zofran is used to manage nausea and vomiting, which is not the primary concern here.

A. "Supporting the uterus decreases the amount of pain." B. "This is necessary because the ligaments that hold the uterus are stretched." C. "This will decrease the severity of a uterine bleeding" D. "This will help with uterine involution."

Correct Answer is B

Explanation

A. "Supporting the uterus decreases the amount of pain." Incorrect. While proper support may reduce discomfort, the primary reason is structural support.

B. "This is necessary because the ligaments that hold the uterus are stretched." Correct. The uterus is enlarged postpartum, and the ligaments are weakened, making support necessary.

C. "This will decrease the severity of uterine bleeding." Not the primary reason, though proper fundal massage can aid in hemorrhage prevention.

D. "This will help with uterine involution." Incorrect. Uterine involution is driven by hormonal changes and contractions, not just support.

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On the fourth postpartum day, a client experiences breast engorgement. To relieve her discomfort, which of these nursing interventions is most effective to meet the expected outcome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is four hours postpartum. Her temperature is 39 C (102.2F), pulse 96 beats per minute, and respirations 18 breaths per minute. Based on this information, which of these orders is most appropriate for treating the client at this time?

Correct Answer is C

Explanation

When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.

Correct Answer is B

Explanation

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