A nurse is caring for a client who is 4 days postpartum following a. cesarean birth.
For each potential assessment finding, click to specify if the assessment finding is consistent with mastitis or endometritis.
Each finding may support this more than 1 disease process.
Chills.
Temperature.
Painful, tender breast.
Foul-smelling lochia.
The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"A"},"D":{"answers":"B"}}
The assessment findings that are consistent with mastitis are: Chills Temperature Painful, tender breast The assessment findings that are consistent with endometritis are: Chills Temperature Foulsmelling lochia Mastitis is an inflammation of the breast tissue that can lead to infection. It is usually caused by a blocked milk duct or bacteria entering the breast through a cracked nipple. Mastitis can cause symptoms such as fever, chills, headache, body aches, and redness, swelling, and pain in the affected breast. Mastitis is usually treated with antibiotics and pain relievers. It is important to continue breastfeeding or pumping to empty the breast and prevent further engorgement. Endometritis is an inflammation of the inner lining of the uterus (endometrium) that can lead to infection. It is usually caused by bacteria entering the uterus during childbirth, miscarriage, abortion, or insertion of an intrauterine device (IUD). Endometritis can cause symptoms such as fever, chills, lower abdominal pain, foul-smelling vaginal discharge (lochia), and uterine tenderness. Endometritis is usually treated with antibiotics and pain relievers. It is important to seek medical attention if symptoms persist or worsen .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Step 1: Convert the dopamine hydrochloride dose from mcg to mg. We know that 1 mg = 1000 mcg. So, 4 mcg = 0.004 mg.
Step 2: Calculate the total amount of dopamine hydrochloride the client needs per minute. We know that the client weighs 80 kg and the dose is 0.004 mg/kg/min. So, 0.004 mg/kg/min × 80 kg = 0.32 mg/min.
Step 3: Convert the total amount of dopamine hydrochloride the client needs per minute to an hourly rate. We know that 1 hour = 60 minutes. So, 0.32 mg/min × 60 min/hr = 19.2 mg/hr.
Step 4: Calculate the volume of the solution that contains 19.2 mg of dopamine hydrochloride. We know that the solution contains 800 mg in 250 mL. So, (19.2 mg ÷ 800 mg) × 250 mL = 6 mL.
Therefore, the nurse should set the IV infusion to deliver 6 mL/hr (rounded to the nearest whole number).
Correct Answer is D
Explanation
The correct answer is Choice D.
Choice A rationale: Acupuncture is typically administered by a trained acupuncturist, not by the nurse. It is not commonly initiated upon arrival at the labor unit.
Choice B rationale: Biofeedback is a technique that usually requires prior training and practice; it is not typically taught for the first time at the beginning of labor.
Choice C rationale: Transcutaneous electrical nerve stimulation (TENS) can help manage back pain during labor but is not specifically used for pelvic pressure.
Choice D rationale: Using an ultrasound picture as a focal point during contractions is a common nonpharmacological pain management technique. Focal points help the client concentrate and manage pain through visualization and distraction.
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