The nurse working on the postpartum unit is caring for a woman who is three days postpartum

The client says, "If I would have known my breasts were going to get this full and painful if I breastfed, I would have made a different decision about how to feed the baby." The nurse's best response is: 1. "Oh well, it's too late to change your mind now."
2. "This happens to all new mothers, whether they breastfeed or not."
3. ""It's not too late to change your mind and bottle-feed the baby."
4. "You are experiencing engorgement, and there's nothing you can do until it subsides."


2
Rationale: Engorgement occurs to all new mothers, whether they breastfeed or not, but there are things the woman can do to reduce discomfort, including more frequent breastfeeding, ice packs to the breast, and warm showers to improve the let-down reflex. Milk production will stabilize within 24-36 hours, and the engorgement will subside.

Nursing

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Which of the following is an example of the effects of globalization on health care?

1. Globalization makes the exchange of health-care information more difficult. 2. The health-care costs and benefits of globalization are distributed equitably. 3. Globalization eases the transition of foreign-educated nurses into U.S. employment. 4. Global demand for nurses continues to exceed supply.

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A client in labor has just experienced the rupture of fetal membranes. If the nurse suspects a prolapsed cord, and asks the LVN/LPN for assistance, the first priority should be to:

A) give oxygen 10 L/min by face mask. B) obtain maternal vital signs. C) start an IV fluid bolus. D) position the mother with knees to chest.

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Which medications are appropriate for minor irritation and injury? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected

1. NSAIDs 2. Diphenhydramine HCl (Benadryl) 3. Antimicrobials 4. Local anesthetics 5. Insulin (Humulin R)

Nursing

A 19-year-old college student was smoking a cigarette and drinking a cup of coffee in the smoking lounge. How might he expect these substances to make him feel?

A. Euphoric, with decreased fear and anxiety, and ready for a nap B. Immune from pain, anxiety, or fear, and ready for an intimate encounter C. Ostracized because no one appreciates being very close to a smoker D. Relaxed, alert, and ready to study for his exams

Nursing