A breastfeeding client who is 2 weeks' postpartum tells the nurse her nipples are very sore and she is able to breastfeed for only short periods. The nurse should recognize the client is at risk for developing:
a. metritis c. thrombophlebitis
b. mastitis d. vaginitis
B
Mastitis is the inflammation of the breast during breastfeeding. Symptoms appear 2 to 4 weeks after birth and result in shorter periods of breastfeeding.
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The mother of a 5-year-old girl tells the nurse that she has noticed her daughter "scratching at her bottom a lot the last few days." During the assessment, the nurse finds redness and raised skin in the anal area. This finding most likely indicates:
a. Pinworms. b. Chickenpox. c. Constipation. d. Bacterial infection.
The nurse instructs the unlicensed assistive personnel to feed an older adult. If the nurse is unable to observe feeding directly, which action should the nurse use to assess the older adult's risk for aspiration immediately following feeding?
a. Note food volume eaten b. Observe skin color c. Inspect for pocketing d. Monitor for bradypnea
Complications of premature rupture of the amniotic membranes (PROM) include:
a. Premature placental separation b. Maternal and fetal infection c. Precipitate delivery d. Fetal dehydration
The nurse and primary care provider have to ask the family of a young victim of a motor vehicle accident about obtaining an autopsy
The nurse is a recent graduate and remembers reviewing culture, ethnicity, and religious beliefs and practice related to death. Based on this information, which client's family would the nurse anticipate that the autopsy cannot be performed? A) Christian Science B) Episcopal C) Greek Orthodox D) Hindu