A nurse is collecting data from a client who is breastfeeding and reports a sudden onset of chills and a tender, red area on the right breast. The nurse should identify that these manifestations indicate which of the following conditions?
Mastitis
Engorgement
Blocked milk duct
Thrush
The Correct Answer is A
A. Mastitis: Mastitis is an infection of the breast tissue, often caused by bacteria entering through a cracked nipple. It presents with localized redness, warmth, tenderness, swelling, and systemic symptoms such as fever and chills. These signs align with the client’s sudden onset of chills and a tender, red area on the breast, indicating an acute infectious process.
B. Engorgement: Engorgement occurs when the breasts are overfilled with milk, leading to generalized swelling, firmness, and mild discomfort. It usually develops gradually rather than suddenly and is not associated with systemic symptoms like chills or fever.
C. Blocked milk duct: A blocked duct can cause localized firmness and tenderness, often forming a small, palpable lump. Unlike mastitis, it typically does not produce systemic symptoms such as chills or fever, and the redness is usually limited to the area over the blockage rather than indicating infection.
D. Thrush: Thrush is a fungal infection caused by Candida species, affecting the nipple or infant’s mouth. It presents with pain during breastfeeding, itching, or burning, and may show white patches on the nipple or tongue. Thrush does not cause localized redness, tenderness, or systemic symptoms such as chills.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "I will soak my feet in warm water every night.": Soaking feet can lead to skin maceration and increase the risk of infection, particularly in clients with diabetes who may have peripheral neuropathy or impaired circulation. Safe foot care recommends washing and gently drying feet without prolonged soaking.
B. "I will apply a moisturizing cream between my toes.": Applying moisturizer between the toes can create a moist environment that promotes fungal infections. Moisturizing should be limited to dry areas of the feet, avoiding skin folds and interdigital spaces.
C. "I will be sure to wear cotton socks.": Cotton socks help absorb moisture, reduce friction, and prevent excessive sweating, which lowers the risk of skin breakdown and infection. Proper sock choice is a key component of daily diabetic foot care and protects against ulcer formation.
D. "I will buy new shoes in the early morning hours.": Feet typically swell during the day, so shoes should be purchased later in the day when feet are at their largest. Buying shoes in the morning may result in footwear that is too tight and increases the risk of pressure sores or blisters.
Correct Answer is C
Explanation
A. Consume a diet high in fat: Older adults are at increased risk for cardiovascular disease, hyperlipidemia, and atherosclerosis. Diets high in saturated and trans fats contribute to elevated LDL cholesterol and increased cardiovascular risk. Nutritional recommendations emphasize lean proteins, healthy fats in moderation, and balanced intake rather than high-fat consumption.
B. Drink 1 L (32 oz) water each day: Older adults typically require about 1.5 to 2 liters of fluid daily unless contraindicated by conditions such as heart failure or renal disease. A daily intake of only 1 liter may be insufficient and increases the risk of dehydration, which is more common in older adults due to decreased thirst sensation.
C. Snack between meals: Smaller, more frequent meals and snacks can help maintain caloric intake in older adults who experience decreased appetite, early satiety, or altered taste sensation. Snacking between meals supports adequate nutrient consumption and helps prevent unintended weight loss or malnutrition.
D. Eat three large meals each day: Large meals may be difficult for older adults to tolerate due to decreased gastric motility and early satiety. This pattern can lead to inadequate intake if the client cannot finish meals. Smaller, more frequent meals are generally better tolerated and promote improved nutritional status.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
