On the second day postpartum, the patient experiences engorgement. To relieve her discomfort, the nurse should encourage the patient to:

1. Remove her bra.
2. Apply heat to her breasts.
3. Apply ice packs to her breasts.
4. Limit breastfeeding to twice daily.


Correct Answer: 3
Rationale 1: Removing her bra will only serve to increase breast milk production.
Rationale 2: Applying heat will promote breast milk production.
Rationale 3: Applying ice packs to the breasts relieves discomfort through the numbing effect of ice.
Rationale 4: Limiting breastfeeding to b.i.d. actually would decrease the flow of breast milk eventually, and would not serve to decrease the discomfort of mother or infant.

Nursing

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The nurse demonstrates Florence Nightingale's theory of nursing with what intervention?

1. Respecting the patient's culture and incorporating cultural needs in the plan of care 2. Promoting good health and treating those who are ill in a holistic manner 3. Understanding how to motivate people to practice a healthy lifestyle and reduce risks 4. Teaching other nurses how to deliver the highest quality of nursing care.

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Which of the following statements is true of the adverse-effects of thiazide and loop diuretics?

A. Thiazide and loop diuretics interfere with the renal excretion of uric acid. B. Thiazide and loop diuretics interfere with the metabolism of sodium. C. Thiazide and loop diuretics interfere with the synthesis of renin. D. None of these are correct.

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A psychiatric–mental health registered nurse is monitoring a client's medication regimen and is taking action to coordinating other health services with members of other disciplines. In what role is this nurse functioning?

A) Case manager B) Intake screener C) Milieu therapist D) Self-care promoter

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