On the third postpartum day, a client who is bottle-feeding complains of full, painful breasts. Which intervention would be appropriate to suggest?

a. Apply tight binder, and ask physician for drugs to suppress lactation.
b. Use electric breast pump to empty milk, and restrict fluids.
c. Manually express milk frequently, take a warm shower, and take analgesics.
d. Wear well-fitting support bra, use ice packs, and take analgesics.


D
The most appropriate intervention by the nurse would be to suggest that the woman wear well-fitting support bras, use ice packs, and take analgesics. Applying tight binder and asking physician for drugs to suppress lactation are not appropriate actions in part because 3 days postpartum is too late for lactation suppression medications, which are seldom used today. Using an electric breast pump to empty milk or manually expressing milk frequently will increase the client's breast engorgement by stimulating milk production.

Nursing

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An elder client is being prepared for transfer to a long-term care facility and expresses sorrow at not being able to return to his own home. The nurse can best help the client cope with this change by:

A) explaining why it is necessary to move to the new facility. B) explaining why it would be unsafe to remain in his own home. C) showing him pictures of the new facility. D) asking him to tell you about significant events in his life.

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The nurse prepares to conduct a quick evaluation of a 1-month-old infant's hearing. Which action will provide the best information?

1. Examining the child's ear canal with an otoscope 2. Using a vibrating tuning fork placed against the child's skull 3. Using tympanometry to assess the child's hearing 4. Using a noisemaker to evaluate the child's response

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If a middle-aged couple with two teenage children has insufficient income to purchase food, the most helpful program for them would be the

a. MyPlate food guidance system. b. National School Lunch and School Breakfast Programs. c. federal governments Supplemental Nutrition Assistance Program (SNAP). d. Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).

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4 3/10 รท 1 3/4 = ____________________

Fill in the blank(s) with correct word

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