Knowing that the condition of the new mother's breasts will be affected by whether she is breastfeeding, nurses should be able to tell their patients all of the following statements except:
a. Breast tenderness is likely to persist for about a week after the start of lactation.
b. As lactation is established, a mass may form that can be distinguished from cancer by its position shift from day to day.
c. In nonlactating mothers, colostrum is present for the first few days after child-birth.
d. If suckling is never begun (or is discontinued), lactation ceases within a few days to a week.
A
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A Breast tenderness should persist only about 48 hours after lactation begins.
B That movable, noncancerous mass is a filled milk sac.
C Colostrum is present for a few days whether the mother breastfeeds or not.
D A mother who does not want to breastfeed should also avoid stimulating her nipples.
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A 77-year-old patient had an acute myocardial infarction and subsequently coronary artery bypass graft (CABG) surgery. The multi-disciplinary team recommends that the patient attend a cardiac rehabilitation program. The client tells the nurse, "I don't se
a. cardiac rehabilitation programs typically begin with light activity and progress in intensity with the supervision of a nurse or physical therapist. b. cardiac rehabilitation programs are only useful for individuals who are typi-cally sedentary and would not exercise otherwise. c. cardiac rehabilitation programs are only offered in long-term care settings. d. cardiac rehabilitation programs are more effective in men than in women.
A nurse transcribes a new prescription for potassium penicillin G given intravenously (IV) q 8 h and gentamicin IV q 12 h. Which plan is the best schedule for administering these drugs?
a. Give the penicillin at 0800, 1600, and 2400; give the gentamicin (Garamycin) at 1800 and 0600. b. Give the penicillin at 0800, 1600, and 2400; give the gentamicin (Garamycin) at 1200 and 2400. c. Give the penicillin at 0600, 1400, and 2200; give the gentamicin (Garamycin) at 0600 and 1800. d. Give the penicillin every 8 hours; give the gentamicin (Garamycin) simultaneously with two of the penicillin doses.
The nurse is assessing a client with mitral stenosis who is to undergo a transesophageal echocardiogram (TEE) today. Which nursing action is essential?
A. Auscultate the client's precordium for murmurs. B. Teach the client about the reason for the TEE. C. Reassure the client that the test is painless. D. Validate that the client has remained NPO.
While taking a history, a nurse learns that a client had rheumatic heart disease as a child. Based on this information, what abnormal data might this nurse expect to find during an examination?
a. An extra beat just before the S2 heart sound heard during auscultation b. A raspy machine-like or blowing sound heard during auscultation c. A prominent thrust of the heart against the chest wall felt on palpation d. A visible sinking of tissue around the ribs noticed on inspection