The nurse is providing instructions to the client who has been diagnosed with mastitis. Which of the following statements, if made by the client, indicates a need for further education?
1. "I need to wear a supportive bra to relieve the discomfort."
2. "I need to stop breast-feeding until this condition resolves."
3. "I can use analgesics to assist in alleviating some of the discomfort."
4. "I need to take antibiotics, and I should begin to feel better in 24 to 48 hours."
2
Rationale: In most cases, the client can continue to breast-feed with both breasts. If the affected breast is too sore, the client can pump the breast gently. Regular emptying of the breast is im-portant in order to prevent abscess formation. Antibiotic therapy assists in resolving the mastitis within 24 to 48 hours. Additional supportive measures include ice packs, breast supports, and analgesics.
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The mother of a client diagnosed with schizophrenia is tearful and wonders aloud if she passed the illness on to her child, and if her grandchild will also develop the disease. The nurse should reply with which statement?
1. "I see you are feeling upset. Do you want to talk?" 2. "Schizophrenia does have a strong genetic link, but at present there is no specific genetic test for it." 3. "Your grandchild has nothing to worry about." 4. "You and your child should volunteer for genetic research."
When assessing a patient with a brain injury using the Glasgow Coma Scale (GCS), the nurse gathers information regarding which of the following parameters?
A) Reflex activity B) Level of consciousness C) Cognitive ability D) Sensory involvement
A 35-year-old woman has an amniocentesis performed to find out whether her baby has a chromosome defect. Which statement by this patient indicates that she understands her situation?
a. "The doctor will tell me if I should have an abortion when the test results come back." b. "I know support groups exist for parents who have a baby with birth defects, but we have plenty of insurance to cover what we need." c. "When all the lab results come back, my husband and I will make a decision about the pregnancy." d. "My mother must not find out about all this testing. If she does, she will think I'm having an abortion."
Which statement made by a client whom the nurse is teaching how to self-inject insulin reflects a need for clarification of injection site selection and rotation?
A. "The abdominal site is best because it is closest to the pancreas." B. "I can reach my thigh the best, so I will use different areas of the same thigh." C. "By rotating the sites within one area, my chances of having tissue increases or decreases is less." D. "If I change injection sites from the thigh to the arm, the rate of absorption will be different."