T.N. tells you she must go back to work in 6 weeks and is not sure she can continue
breastfeeding. What options are available to her?
What will be an ideal response?
• The advantages of breastfeeding for babies are well understood, but there are several advantages
for new mothers as well. It is less expensive and less time-consuming because no preparation of
formula is needed.
• Assure her that she can continue breastfeeding. Pumps are available and take little time to use.
Breast pumps are designed for single-person use to prevent possible transmission of hepatitis B or
C because they cannot be cleaned and sanitized.
• Breast milk can be frozen and given to her baby in a bottle while she is at work.
• Babies can be brought to the workplace for feeding if appropriate.
• If she wants to stop breastfeeding, she can begin decreasing the number of breastfeedings by
one (and increase the number of bottle-feedings by one) every 2 or 3 days until she breastfeeds
mornings and evenings only, or stops altogether.
• Obtain a consultation for a lactation specialist to assist her with her transition back to a work
schedule.
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The nurse is preparing to perform a physical assessment. The correct action by the nurse is reflected by which statement? The nurse:
a. Performs the examination from the left side of the bed. b. Examines tender or painful areas first to help relieve the patient's anxiety. c. Follows the same examination sequence, regardless of the patient's age or condition. d. Organizes the assessment to ensure that the patient does not change positions too often.
Which of the following instructions should the nurse specifically stress when administering drugs used for muscle spasm and cramping?
A) Take the drug with food. B) Stay upright for 30 minutes after taking the drugs. C) Avoid alcohol or other CNS depressants. D) Take the drug with 6 to 8 ounces of water.
The nurse is providing discharge education to an adult patient who will begin a regimen of ocular medications for the treatment of glaucoma
How can the nurse best determine if the patient is able to self-administer these medications safely and effectively? A) Assess the patient for any previous inability to self-manage medications. B) Ask the patient to demonstrate the instillation of her medications. C) Determine whether the patient can accurately describe the appropriate method of administering her medications. D) Assess the patient's functional status.
The implementation team is aware that backloading of some pre-existing data must be completed for the system to create accurate medication administration records and billing charges. How is this best accomplished?
A) Selected data from client records are loaded into the system by data entry specialists. B) Each staff member is responsible for inputting medications for each patient for the 24 hours prior to going live. C) When the system goes live, data from clients' medication administration records since admission are inputted for all clients. D) A pharmacist selects needed data from client medication administration records and inputs the data immediately prior to going live.