A postpartum patient reports sharp, shooting pains in her nipple during breastfeeding and flaky, itchy skin on her breasts. The nurse suspects:
1. Nipple soreness.
2. Engorgement.
3. Mastitis.
4. Letdown reflex.
3
Rationale 1: These are not symptoms of nipple soreness.
Rationale 2: These are not symptoms of engorgement.
Rationale 3: Mastitis is characterized by late-onset nipple pain, followed by shooting pains during and between feedings. The skin of the affected breast becomes pink, flaking, and pruritic.
Rationale 4: These are not symptoms of the letdown reflex.
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Why is the nurse implementing actions to prevent the onset of catheter-related infections in a patient receiving care in the intensive care unit?
1. Statistics report that as many as one in five individuals who develop a catheter-related infection die from it. 2. Nosocomial catheter-related infections prolong hospitalization by an average of 4 days. 3. The increased cost of care due to the development of a blood-borne infection averages between $1,700 and $17,000. 4. Central venous catheters have about the same rate of infection as peripherally inserted catheters.
Nursing is considered by the public, via the Gallup Poll, to be one of the most honest professions. This certainly constitutes feedback that reflects excellence. But to create a preferred future for nursing, it is necessary that nurses continue to:
A. Be themselves B. Promote excellence and exercise leader-ship C. Do exactly what we are doing now D. Preserve this coveted reputation perceived by the public
A client with schizophrenia is reluctant to take his prescribed oral medication. The most therapeutic response by the nurse to this refusal is:
A) "I can see that you're uncomfortable now, so we can wait until tomorrow." B) "If you refuse these pills, you'll have to get an injection." C) "What is it about the medicine you don't like?" D) "You know you have to take this medicine for your own good."
Which prescription should the nurse prepare to administer for a client experiencing a warfarin sodium overdose?
A. Aspirin B. Heparin C. Vitamin K D. Protamine sulfate