On the 3rd day postpartum, a patient who is not breastfeeding experiences engorgement. To relieve her discomfort, the nurse should encourage the patient to:
1. Remove her bra.
2. Apply heat to the breasts.
3. Apply cold packs to the breasts.
4. Use a breast pump to release the milk.
3
Rationale 1: A 24-hour support bra is recommended.
Rationale 2: Applying heat would stimulate milk production.
Rationale 3: Applying cold packs to the breasts relieves discomfort and helps suppress lactation.
Rationale 4: Using a breast pump would stimulate milk production and delay the suppression process.
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A) "We should refer to everyone as a client. They pay for our service." B) "That's how the physician wants us to refer to them." C) "Using the term client implies that they are an active partner in nursing care." D) "Using the term client is more respectful that using the term patient."
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A patient has a sore throat with fever. The primary care NP observes erythematous 4+ tonsils with white exudate. A rapid antigen strep test is negative, and a culture is pending. The NP orders amoxicillin as empiric treatment
The patient calls the next day to report a rash. The NP should suspect: a. penicillin drug allergy. b. a viral cause for the patient's symptoms. c. a serum sickness reaction to the penicillin. d. scarlatiniform rash from the streptococcal infection.