The nurse is caring for a patient who is breastfeeding and receiving antibiotics for mastitis. What should be included in the teaching? (Select all that apply.)
a. Stop breastfeeding, and switch to bottle feeding.
b. Change the infant's feeding position on the breast frequently.
c. Wash hands before handling the breast.
d. Apply cool packs to the breast to ease pain.
e. Wear a bra to support the swollen painful breast.
f. NSAIDs may be used to help control pain.
ANS: B, C, E, F
Patient teaching should include instructions to wash hands carefully to prevent the spread of infection. If the patient is breastfeeding, breastfeeding is often continued to promote drainage of the breast, mother/infant bonding, and infant nutrition. The infant is often already colonized with the bacteria, so further exposure is not thought to be detrimental. Frequent changes in feeding positions can help empty the entire breast. Cool packs will reduce blood flow, which is not desirable. NSAIDs, warm packs, and breast supports are often used to control pain and swelling.
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