Which breastfeeding patient is most likely to have severe afterbirth pains and request a narcotic analgesic?
a. Gravida 5, para 5
b. Woman who is bottle-feeding her first child
c. Primipara who delivered a 7-lb boy
d. Woman who wishes to breastfeed as soon as her baby is out of the neonatal intensive care unit
ANS: A
The discomfort of afterpains is more acute for multiparas because repeated stretching of muscle fibers leads to loss of uterine muscle tone. Afterpains are particularly severe during breastfeeding, not bottle-feeding. The uterus of a primipara tends to remain contracted. The nonnursing mother may have engorgement problems. The patient whose infant is in the NICU should pump regularly to stimulate milk production and ensure that she will have an adequate milk supply when the baby is strong enough to nurse.
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a. Helps provide continuity of care b. Standardizes patient care parameters c. Assists in maintaining confidentiality d. Reduces the number of medication errors e. Provides the foundation for staffing levels f. Allows for quality evaluations among units
The nurse plans care for the client who receives a prescription for a leg brace and crutches. Which is the nurse's priority in the client's plan of care?
1. Assist client to supine position to apply the leg brace. 2. Ask which device the client prefers and uses most often. 3. Determine client experience with leg brace and crutches. 4. Assess how the leg brace affects ambulation with crutches.
The nurse is caring for a patient with a history of aggressive behavior. For which reason should the nurse suspect a cardiac medication has been prescribed for this patient?
1. Calcium channel blockers increase dopamine levels, decreasing the risk of violence. 2. Calcium channel blockers decrease dopamine levels, decreasing the risk of violence. 3. Beta-adrenergic agonists decrease norepinephrine levels, decreasing the risk of violence. 4. Beta-adrenergic antagonists decrease norepinephrine levels, decreasing the risk of violence.
The nurse is preparing to administer an IV medication that must be diluted in 60 mL of fluid and then given over 45 minutes. Which of the following methods can the nurse use to give this medication? (Select all that apply.)
a. Piggyback infusion b. Volume-control device c. Mini-infusion pump d. IV bolus injection