A breastfeeding woman develops breast engorgement at 3 days postpartum. Which action would help this woman reduce the engorgement?
a. Breastfeeding her baby every 2 hours
b. Avoiding using the breast pump
c. Skipping feedings to rest her sore breasts
d. Decreasing her fluid intake for 24 hours
ANS: A
Early, regular, and frequent nursing helps prevent engorgement. If engorgement does occur, the breast pump can be used to get the milk flow started. Skipping feedings contributes to engorgement, and limiting fluid is not beneficial or recommended.
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A patient is diagnosed with diabetic ketoacidosis. The nurse realizes that the mechanism with which the patient has been receiving energy is through which of the following?
1. aerobic metabolism 2. extraction 3. anaerobic metabolism 4. affinity
The temperature of the water in the whirlpool tub is regulated to a constant 105°F.
Answer the following statement true (T) or false (F)
The most likely rationale for body temperature fluctuations after cervical spinal cord injury is that the person has:
a. Developed bilateral pneumonia or a urinary tract infection. b. Sustain sympathetic nervous system damage resulting in disturbed thermal control. c. Sustained a head injury that damaged the hypothalamus’s ability to regulate temperature. d. Developed septicemia from posttrauma infection.
A male client can neither turn his head against resistance nor shrug his shoulders. The nurse documents a deficit in the functioning of which cranial nerve?
A) Abducens (VI) B) Accessory (XI) C) Hypoglossal (XII) D) Trochlear (IV)