On the second day postpartum, the client who is bottlefeeding experiences engorgement. Which should the nurse encourage to enhance the client's comfort?

1. Removing her bra
2. Applying heat to her breasts
3. Applying ice packs to her breasts
4. Limiting breastfeeding to twice daily


3
Explanation:
1. Removing her bra will only serve to increase breast milk production. A tight-fitting bra should be worn at all times for 5 to 7 days and only removed when showering.
2. Applying heat will promote breast milk production.
3. Applying ice packs to the breasts relieves discomfort through the numbing effect of ice.
4. Limiting breastfeeding to twice per day actually would decrease the flow of breast milk eventually, and would not serve to decrease the discomfort of the mother.

Nursing

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Which of these observations of a client's IV infusion site would indicate to the nurse that no complications have developed?

a. The site is clean and dry. c. The site is cool and dry. b. The site is warm and slightly swollen. d. The site is red and slightly painful.

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Health care professionals are required to report suspected abuse or neglect. Which of the following is not a typical sign of abuse with a burn injury?

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The main purpose of intermittent skilled care is to

A) get families involved in patient care. B) save money on health care costs. C) teach clients how to best meet their own needs. D) teach clients a better way of doing daily tasks.

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