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 []

Explanation

- Potential Condition: Endometritis. The symptoms of malaise, chills, decreased appetite, elevated temperature, tachycardia, a boggy and tender uterus, and foul-smelling lochia are indicative of a postpartum infection, such as endometritis.

- Actions to Take:

- Monitor the lochia amount and odor: This will help assess the presence of infection and the effectiveness of treatment.

- Assist with the administration of prescribed antibiotics: Antibiotics are the primary treatment for endometritis.

- Parameters to Monitor:

- Temperature: Monitoring for fever can help assess the response to treatment and indicate if the infection is resolving or worsening.

- Heart rate: Tachycardia may be a sign of infection or other complications, so it's important to monitor changes in heart rate.

A. "The nurse will take out my urinary catheter 48 hours after surgery." B. "The nurse might need to massage my uterus frequently after surgery." C. "I can have regular food once I am able to swallow safely." D. "I will need to stay flat on my back in bed for the first 24 hours after surgery."

Correct Answer is B

Explanation

A. The urinary catheter is usually removed within the first 24 hours after a cesarean birth, not 48 hours. Early removal helps prevent complications and promotes recovery.
B. Uterine massage is performed to prevent postpartum hemorrhage and ensure the uterus is contracting properly. This practice is part of standard postpartum care to promote uterine involution.
C. Postoperative diet progression typically starts with clear liquids and advances as tolerated. Regular food is introduced once the client can swallow safely and shows no signs of nausea or gastrointestinal issues.
D. Staying flat on the back is not required post-cesarean section. Early ambulation is encouraged to prevent complications like deep vein thrombosis and to promote healing.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is []

Explanation

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Correct Answer is B

Explanation

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