A nurse is providing discharge teaching to a new parent about breastfeeding her infant. Which of the following statements should the nurse make?

"Supplement breastfeedings with water every 12 hours."

"Limit the time your infant feeds to 10 minutes on each breast."

"Begin each feeding using the same breast."

"Offer your infant the breast when he shows signs of hunger."

Answer and Explanation

The Correct Answer is D

Rationale:
A. "Supplement breastfeedings with water every 12 hours.": Breastfed infants do not require water supplementation because breast milk provides adequate hydration. Giving water can reduce milk intake, interfere with nutrition, and increase the risk of electrolyte imbalance.

B. "Limit the time your infant feeds to 10 minutes on each breast.": Feeding duration should be guided by the infant’s cues rather than a strict time limit. Limiting feeds can prevent the infant from receiving the hindmilk, which is richer in fat and essential for growth.

C. "Begin each feeding using the same breast.": Alternating the starting breast for each feeding helps ensure equal stimulation and milk production in both breasts. Starting with the same breast consistently may lead to uneven milk supply.

D. "Offer your infant the breast when he shows signs of hunger.": Responsive, cue-based feeding supports adequate nutrition, growth, and bonding. Feeding on demand—such as rooting, sucking on hands, or fussiness—helps establish and maintain milk supply and meets the infant’s needs effectively.

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Correct Answer is C

Explanation

Rationale:
A. "Placement of the catheter is confirmed by a CT scan.": Catheter placement is not routinely confirmed by CT scan. Instead, correct placement of a central venous catheter is verified by a chest X-ray immediately after insertion to ensure proper tip location.

B. "You will be under general anesthesia for this procedure.": General anesthesia is not required for placement of a nontunneled percutaneous central venous catheter. The procedure is typically performed using local anesthesia and aseptic technique at the bedside.

C. "The provider will wear a mask while performing the procedure.": The provider wears a mask, sterile gown, gloves, and cap as part of strict sterile technique during insertion to prevent catheter-related bloodstream infections.

D. "Your head will be elevated as high as possible while the catheter is inserted.": The client’s head is not elevated during insertion. Instead, a flat or slight Trendelenburg position is used to distend neck veins and reduce the risk of air embolism.

A. Prepare an IV bolus of dextrose 5% in water. B. Administer methylergonovine IM. C. Administer calcium gluconate IV. D. Position the client supine.

Correct Answer is C

Explanation

Rationale:
A. Prepare an IV bolus of dextrose 5% in water: Administering dextrose does not reverse magnesium sulfate toxicity. Dextrose primarily provides energy and fluid but has no effect on magnesium levels or neuromuscular function.

B. Administer methylergonovine IM: Methylergonovine is used to treat postpartum hemorrhage by promoting uterine contractions. It does not counteract magnesium toxicity and is unrelated to this emergency situation.

C. Administer calcium gluconate IV: Calcium gluconate is the antidote for magnesium sulfate toxicity. It works by antagonizing magnesium at neuromuscular junctions, reversing respiratory depression, hypotonia, and loss of deep tendon reflexes associated with toxicity.

D. Position the client supine: While client positioning may assist with comfort or circulation, supine positioning does not treat magnesium sulfate toxicity. The priority is administering the antidote to prevent further complications such as respiratory arrest.

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A nurse is providing discharge teaching to a new parent about breastfeeding her infant. Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is to undergo placement of a nontunneled percutaneous central venous access device. Which of the following statements should the nurse include in the teaching?

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Correct Answer is C

Explanation

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