The postpartum nurse is performing a home care visit to a first-time mother on her third day after delivery. She reports that her nipples are becoming sore. What statement indicates that further teaching is needed?
1. "I should try to keep the baby awake, and not let him stay latched onto the breast when he is asleep."
2. "Watching how much areola is visible will help me see if he has a good mouthful of breast or not."
3. "My nipples will heal if I switch to bottle-feeding for about three days while I pump my breasts."
4. "Rotating breastfeeding positions will allow the sore areas of my nipples to have less friction."
3
Rationale:
1. This strategy will help prevent or heal nipple soreness.
2. This strategy will determine whether the baby is slipping down so that he is latched on just to the nipple instead of the areola. Babies need to be latched fully onto the areola to heal nipple soreness.
3. Switching to formula-feeding and breast-pumping is a last resort, and will decrease milk supply. Watching the latch is more important.
4. This statement is true.
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A) Endometritis B) Thrombophlebitis C) Amniotic embolus D) Postpartum hemorrhage
What precautions/instructions should the nurse teach the client who has been prescribed to use cromolyn sodium nasal spray for allergic rhinitis?
A. "Be sure to drink at least 4 L of fluids each day while using this medication." B. "Start using this medication 3 to 4 weeks before allergy season begins." C. "Sleeplessness indicates that you are using the spray too often." D. "Report any nosebleeds to your health care provider."
The nurse is caring for a client who is experiencing an increase in cardiac contractility. Which of the following will decrease contractility and reduce myocardial oxygen demand for this client?
1. Administer Primacor as prescribed. 2. Administer Digoxin as prescribed. 3. Administer beta-blocker as prescribed. 4. Administer potassium chloride as prescribed.
The nurse is reviewing the results of serum laboratory tests conducted on a client. Which of the following results should be reported?
1. Calcium 8.5 mg/dL 2. Potassium 6.1 mEq/L 3. Serum creatinine 1.4 mg/dL 4. Sodium 144 mEq/L