The nurse is caring for a patient who has chosen to breastfeed her infant. Which statement should the nurse include when teaching the mother about breastfeeding problems that may occur?
a. "If you experience painful nipples, cleanse your nipples with soap two times per day and keep your nipples covered as much as possible."
b. "If you experience plugged ducts, continue to breastfeed every 2 to 3 hours and alternate feeding positions."
c. "If mastitis occurs, discontinue breastfeeding while taking prescribed antibiotics and apply warm compresses."
d. "If engorgement occurs, use cold compresses before a feeding and wear a well-fitting bra at night."
ANS: B
If a woman experiences plugged ducts, the best interventions are to continue breastfeeding every 2 to 3 hours and alternate feeding positions while pointing the infant's chin toward the obstructed area. Other interventions include massaging breasts and applying warm compresses before feeding or pumping. If painful nipples occur, the woman should avoid soaps, oils, and lotions and air the nipples as much as possible. If mastitis occurs, the woman should continue breastfeeding to keep the breast well drained. If engorgement occurs, the woman should use a warm compress before feedings and wear a well-fitting bra 24 hours a day.
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You are planning an educational inservice for your nursing colleagues with the goal of fostering culturally competent care. What outcome should you prioritize when planning this education?
A) Participants will acknowledge and adapt to diversity among their colleagues. B) Participants will develop insight into the characteristics of their own culture. C) Participants will provide equal care to all patients, regardless of their background. D) Participants will evaluate their colleagues' levels of cultural awareness.
The diabetic patient who had blood drawn for an HbA1c level says, "I don't know why they want to look at my hemoglobin." The most helpful reply by the nurse would be:
a. "The test is to evaluate your present level of blood sugar." b. "The HbA1c provides information relative to blood sugar levels from the past 2 to 3 months." c. "Hemoglobin levels and blood sugar levels are closely related." d. "The HbA1c tells if you have type 1 or type 2 diabetes."
A nurse arrives on the unit having a prescribed set of values and beliefs and begins the assessment on her client. These values and beliefs influence thoughts, feelings, and which of the following qualities of the nurse as she provides care to the client?
A) Ideas B) Views C) Communication D) Perceptions
The nurse understands that which of the following actions best protects a client from infection?
a. use of nystatin. c. administration of antibiotics b. use of pegfilgrastim d. appropriate handwashing