The breastfeeding postpartum client reports sore nipples to the nurse making a home visit. The intervention with the highest priority is:
1. Infant positioning.
2. Use of the breast shield.
3. Use of breast pads.
4. Type of soap used.
1
Rationale:
1. Infant positioning is a critical factor in nipple soreness. Changing positions alters the focus of greatest stress and promotes more complete breast emptying.
2. Use of the breast shield, use of breast pads, and type of soap used are not critical factors in alleviating nipple soreness.
3. Use of the breast shield, use of breast pads, and type of soap used are not critical factors in alleviating nipple soreness.
4. Use of the breast shield, use of breast pads, and type of soap used are not critical factors in alleviating nipple soreness.
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The nurse is teaching a middle-aged African American client who was recently diagnosed with glaucoma. Which statement by the client indicates for further education on this diagnosis?
1. "I just thought my pupils were big, I didn't know it could be associated with glaucoma." 2. "So, my headaches may be occurring because of the increased pressure within my eyes." 3. "My race doesn't have anything to do with this diagnosis." 4. "Those halos that I see around lights are associated with glaucoma."
A client with iron deficiency anemia is prescribed iron supplements. After administering the drug, the nurse would assess the client for which of the following as a possible adverse reaction related to gastrointestinal function?
A) Headache B) Darker stools C) Soreness D) Backache
Which of the following is an advantage of external electronic fetal monitoring?
1. The ultrasound transducer can accurately measure short-term variability and beat-to-beat changes in the FHR. 2. The tocotransducer can measure and record the frequency, regularity, intensity, and approximate duration of UAs. 3. The tocotransducer is especially valuable for measuring UA during the first stage of labor. 4. Once correctly applied by the nurse, the transducer need not be repositioned even when the woman changes positions.
Which of the following is true of jugular venous pressure (JVP) measurement?
A) It is measured with the patient at a 45-degree angle. B) The vertical height of the blood column in centimeters, plus 5 cm, is the JVP. C) A JVP below 9 cm is abnormal. D) It is measured above the sternal notch.