A nurse is contributing to the plan of care for a client who is postpartum and has mastitis. Which of the following actions should the nurse plan to take?

"Prepare the client for an abdominal sonogram."

"Limit the client's daily fluid intake."

"Encourage the client to wear a bra that is loose fitting."

"Encourage the client to continue to breastfeed."

Answer and Explanation

The Correct Answer is D

A. An abdominal sonogram is not used to diagnose or manage mastitis. Mastitis is typically evaluated and managed through clinical examination and does not require imaging of the abdomen.
B. Limiting fluid intake is not recommended for managing mastitis. Adequate hydration is important to support the body's healing processes and help with milk production.
C. A bra should be supportive, not loose-fitting, to help manage mastitis. A well-fitting, supportive bra can help alleviate discomfort and provide proper support during breastfeeding.
D. Continuing to breastfeed or pumping milk is encouraged to help resolve mastitis. Frequent milk removal can help clear the infection and prevent complications, such as an abscess.

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Correct Answer is C

Explanation

A. Placing the baby in the bassinet by the bed when using the bathroom does not ensure the baby’s safety. It is important to use the bassinet only as a safe place for the baby, and the baby should not be left unattended or in potentially unsecured areas.
B. Carrying the baby in your arms while walking in the hallway does not prevent abduction and can be risky if you are not vigilant. It is safer to use secure methods for ensuring the baby's safety while moving through the hospital.
C. Ensuring that anyone caring for or transporting your baby is wearing an identification badge is a crucial safety measure. Identification badges help verify that only authorized personnel handle the baby, which helps prevent abductions.
D. If the baby’s identification band slips off, it should be reported immediately to hospital staff rather than being placed in a drawer. The identification band is essential for tracking and ensuring the baby’s safety, so it must be addressed properly to prevent confusion or security issues.

A. A single crease in the palm B. A notch in the lip C. Extra digits on the hand D. An inversion of the foot

Correct Answer is A

Explanation

A. A single crease in the palm is correct. A single transverse palmar crease (simian line) is a common finding in infants with trisomy 21.
B. A notch in the lip is not a common finding in trisomy 21. This feature is more associated with other conditions like cleft lip or palate.
C. Extra digits on the hand (polydactyly) is not characteristic of trisomy 21. It is more commonly associated with other genetic conditions.
D. An inversion of the foot (clubfoot) is not a specific finding for trisomy 21. While some infants with trisomy 21 might have foot deformities, this is not a defining characteristic.

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A nurse is contributing to the plan of care for a client who is postpartum and has mastitis. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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