When instructing the nursing mother, the nurse explains that engorgement is most likely to occur when the:
a. infant's mouth surrounds the areola when feeding.
b. breast tissue becomes congested.
c. breast is emptied completely at each feeding.
d. infant's mouth grasps the nipple firmly.
B
Engorgement is the result of venous and lymphatic stasis (congestion).
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A nurse is caring for a confused and frail patient. Which interventions will best minimize the patient's risk of injury related to the geriatric triad? (Select all that apply.)
a. Respond to the patient's call bell promptly. b. Ensure the bed alarm is on at all times. c. Remain with the patient when eating. d. Assess elimination needs every 2 hours while the patient is awake. e. Offer the patient fluids during each visit.
The nurse is preparing to give a three-year-old client the first dose of a prescribed antibiotic. Knowing the client may resist taking the medication, the client's parents suggest the nurse tell her it is candy. What is the best response by the nurse?
a. "Children should not be told medicine is candy, because when they taste it they know it is not candy." b. "Telling children that medicine is candy is a dangerous practice. If the child finds the medicine, the child may attempt to eat it like candy." c. "Thanks, that approach may work for Mary." d. "Children should not be told medicine is candy, because when they taste it they may spit it out."
The nurse assesses a sleeping 1-hour-old, 39-weeks'-gestation newborn. The assessment data that would be of greatest concern would be:
1. Temperature 97.9°F. 2. Respirations 68 breaths/minute. 3. Blood pressure 72/44. 4. Heart rate 156 beats/min.
Which of the following statements most accurately summarizes the current view of health care in the United States?
a. The government should allow Americans to receive the health care they can afford. b. The government should trust the free market system. c. The government should assume responsibility for providing basic care to all. d. The government should provide basic care to those who cannot care for themselves.