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

"Begin each feeding using the same breast."

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

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

"Supplement breastfeedings with water every 12 hours."

Answer and Explanation

The Correct Answer is B

A.   This advice may lead to inadequate emptying of the breasts and imbalance in milk production, potentially affecting milk supply and infant feeding.
B.   Encouraging feeding on demand promotes effective breastfeeding by allowing the infant to feed when hungry, which helps establish and maintain milk supply. This approach supports infant cues and promotes successful breastfeeding.
C.   Strict time limits on feeding can interfere with effective breastfeeding and hinder milk transfer, potentially leading to inadequate nutrition for the infant.
D.   Water supplementation is unnecessary for breastfed infants and can interfere with breastfeeding by reducing infant appetite for breast milk.

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Correct Answer is A

Explanation

A. Kawasaki disease involves inflammation of the blood vessels and can lead to serious cardiac complications, including coronary artery aneurysms. Monitoring cardiac status is essential to detect and manage these risks.
B. While managing fever is a part of treating Kawasaki disease, acetaminophen is typically used as needed rather than on a strict schedule unless fever is persistent.
C. During the acute phase of Kawasaki disease, children often feel very irritable and unwell; large group activities may be overwhelming and inappropriate.
D. Kawasaki disease is not caused by a bacterial infection, and antibiotics are not part of the treatment. Instead, treatment usually involves high-dose aspirin and intravenous immunoglobulin.

A. Acetaminophen B. Ibuprofen C. Aspirin D. Ketorolac

Correct Answer is A

Explanation

A. Acetaminophen is a suitable option for pain relief in clients with a history of peptic ulcer because it does not typically irritate the gastric mucosa or increase the risk of gastrointestinal bleeding.
B. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of gastric ulceration and bleeding, especially in clients with a history of peptic ulcer.
C. Aspirin is also an NSAID and can increase the risk of gastric ulceration and bleeding, particularly in individuals with a history of peptic ulcer.
D. Ketorolac is an NSAID with a high risk of gastrointestinal side effects, including peptic ulceration and bleeding, and should be avoided in clients with a history of peptic ulcer.

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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

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