A postpartum client reports sharp, shooting pains in her nipple during breastfeeding and flaky, itchy skin on her breasts. Which of the following does the nurse suspect?
1. Nipple soreness
2. Engorgement
3. Mastitis
4. Letdown reflex
3
Explanation: 3. Signs of mastitis include late-onset nipple pain, followed by shooting pain between feedings, often radiating to the chest wall. Eventually, the skin of the affected breast may become pink, flaking, and pruritic.
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The patient, age 21, has been treated for chlamydia and has a history of recurrent herpes. What should the nurse plan to do next?
a. Counsel this patient about her sexual history, risk reduction measures, and testing for HIV. b. Refer this patient to a family planning clinic. c. Counsel this patient about testing for HIV and what the test results mean. d. Counsel this patient about abstinence and a monogamous relationship.
A mother comes to the health care clinic for a regular health examination for her 5-year-old son prior to kindergarten admission. Which comment by the mother would indicate the need for follow-up questions to the mother?
1) "He's not a good boy like my other son." 2) "I've had to treat him for lice a couple of times." 3) "He has an imaginary friend he calls Buddy." 4) "He's so funny when he imitates his dad doing things."
A nurse is assisting a physician who is preparing to suture a superficial laceration on a patient's leg. The physician asks the nurse to draw up lidocaine with epinephrine. The nurse understands that epinephrine is used with the lidocaine to:
a. allow more systemic absorption to speed up metabolism of the lidocaine. b. increase the rate of absorption of the lido-caine. c. improve perfusion by increasing blood flow to the area. d. prolong anesthetic effects and reduce the risk of systemic toxicity from lidocaine.
The nurse is developing a client's plan of care. Which should the nurse base the plan of care on?
A. Client goals. B. The subjective data. C. The nursing diagnosis. D. The objective data.