The nurse is caring for a new mother who is breastfeeding her infant, and who complains of breast tenderness and fullness two days after delivery. The nurse suspects:
A) mastitis. B) inability to nurse. C) engorgement. D) absent let-down reflex.
C
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In preventing the spread of infection, the MOST important intervention for health care professionals is:
a. client education c. proper use of isolation techniques b. hand hygiene d. universal precautions
A client is noted to have a high level of non-goal-directed motor activity, running from chair to chair
in the solarium. He is wide eyed and seems terror stricken. He cries "They're coming! They're coming!" He neither follows staff direction nor responds to verbal efforts to calm him. The initial nursing intervention of highest priority is to a. provide for client safety. b. increase environmental stimuli. c. respect the client's personal space. d. encourage clarification of feelings.
For the client who delivered at 6:30 AM on January 10, Rho(D) immune globulin (RhoGAM) must be administered prior to:
a. 6:30 AM on January 13. b. 6:30 PM on January 13. c. 6:30 PM on January 14. d. 6:30 AM on January 15.
The nurse is working with a client who has severe rheumatoid arthritis in her hands. The client states that she is frustrated at mealtime because it is difficult for her to manage cups and silver-ware. What is the nurse's best response?
a. "I'll have the nursing assistants set up your meal trays while you are in the hospital." b. "Let's see if the occupational therapist can provide you with some utensils that are easier for you to use." c. "I'll arrange for a home nursing assistant to help you with your meals after you are discharged from the hospital." d. "Let's see if the physical therapist can suggest some muscle strengthening exer-cises for you."