What statement by the patient leads the nurse to determine a woman with mastitis understands treatment instructions?
a. "I will apply cold compresses to the painful areas."
b. "I will take a warm shower before nursing the baby."
c. "I will nurse first on the affected side."
d. "I will empty the affected breast every 8 hours."
ANS: B
Moist heat promotes blood flow to the area, comfort, and complete emptying of the breast.
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The home care nurse is caring for a patient who has severe COPD and home oxygen therapy. The patient tells the nurse that she feels much better after increasing the oxygen flowmeter from 2 L to 5 L/min
The patient's pulse oximetry is 98%. What is the priority action of the nurse? a. Reduce the oxygen flow rate until the patient's pulse oximetry value is 90% to 92%. b. Inform the patient's physician and obtain an order for oxygen at 5 L/min. c. Document the intervention and findings in the patient's medical record. d. Listen to the patient's lung fields and reinforce pursed-lip breathing techniques.
A patient with severe depression has been hospitalized and the physician has ordered amitriptyline. What common adverse effect will the nurse monitor and assess the patient for? (Select all that apply.)
A) Fever B) Myocardial Infarction C) Stroke D) Dry mouth E) Gynecomastia
The nurse must insert a nasogastric (NG) tube into a patient with a bowel obstruction. Before inserting the tube, the nurse must explain the procedure to the patient. Which explanation by the nurse is best, assuming that all provide correct information?
1) "I'm going to insert an NG tube and connect it to low Gomco to keep your stomach empty." 2) "I'm going to insert a tube through your nose into your stomach to prevent you from vomiting." 3) "I'm going to insert an NG tube through your nares to suction your secretions and prevent emesis." 4) "Hold still, please; I need to elevate the head of the bed and insert this tube."
A nurse is caring for a patient who is in hypertensive crisis. When the nurse is flushing the pa-tient's peripheral IV, the patient complains of pain. Upon assessment, the nurse notices a red streak that is warm to the touch
What is the nurse's initial action? a. Notify the physician. b. Administer pain medication. c. Discontinue the IV. d. Start a new IV line.