The postpartum patient is concerned about mastitis because she experienced it with her last baby. Preventive measures the nurse can teach include:
1. Wearing a tight-fitting bra.
2. Limiting feedings to q.i.d.
3. Frequent breastfeeding.
4. Forcing fluids.
3
Rationale 1: Although wearing a supportive bra is recommended, a tight-fitting bra would mechanically suppress lactation.
Rationale 2: Limiting feedings to q.i.d. would suppress lactation.
Rationale 3: Frequent breastfeeding is important because complete emptying of the breasts prevents engorgement and stasis.
Rationale 4: Forcing fluids is not necessary.
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The Health Care Financing Administration (HCFA) has stated that a resident in a long-term care facility has the right to have the least restrictive treatment to promote health
Which of the following treatments would be questionable under these guidelines? a. Taping an arm board to a resident's wrist to promote the flow of an IV that stops when the resident bends his or her wrist b. Fastening a Velcro belt on a wheelchair-bound resident who is able to unfasten himself or herself c. Applying a soft waist restraint on a resident who repeatedly falls after climbing over the side rails of the bed to go to the bathroom d. Administering a sedative to a resident who has been complaining of insomnia
The home health nurse is providing palliative care to a client. When sorting the client's narcotic pain medications for the week, the nurse notes that there is two weeks' worth of medication missing from the client's current prescription
The client says that the only individuals with access to the medication include the client and one other home healthcare nurse. The nurse suspects that the other home healthcare nurse took the missing mediation. Which action by the nurse is appropriate? A) Call the state board of nursing. B) Tell the client to confront the other nurse. C) Call the authorities immediately. D) Have the client file a police report.
The nurse is explaining to the family of a client with schizophrenia that the medications the client is taking will:
1. sedate the client. 2. prevent the excess dopamine from having an effect on the client. 3. cause the client to sleep for longer periods of time. 4. increase akathisia.
The order is for eye medication, ii gtt OD. The nurse administers:
1. 2 mL to the right eye 2. 2 drops to the left eye 3. 2 drops to the right eye 4. 2 drops to both eyes