A postpartum client is not going to breastfeed her newborn. What should the nurse include when teaching this client about breast care?
1. The let-down reflex
2. Lactation suppression
3. The purpose of fundal massage
4. The cause of afterpains
2
Explanation:
1. The let-down reflex is an important teaching point for breastfeeding patients.
2. It is important to teach nonbreastfeeding patients about lactation suppression after delivery.
3. The purpose of fundal massage should be addressed when assessing the uterus and fundus, not when assessing the breasts.
4. Afterpains can be stimulated by breastfeeding. The nurse will not likely teach a
nonbreastfeeding primipara about afterpains.
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A patient is to undergo a hysterectomy without oophorectomy. The nurse is witnessing the patient's signature on a consent form. Which comment would best indicate informed consent on the part of the patient?
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A patient with acute pancreatitis is concerned about becoming addicted to the morphine prescribed for pain management. What response by the nurse is appropriate?
1. "You must only take the medication when the pain is intolerable." 2. "You may want to consider Demerol to manage your pain because it is less strong." 3. "Addiction during this period of acute pain is not likely." 4. "Addiction is a very real concern and should be considered when requesting medication."