A postpartum client who is bottle-feeding develops breast engorgement. Which is the best recommendation for the nurse to provide this client?

Avoid stimulation of the breasts and wear a tight bra.

Express a small amount of breast milk by hand.

Place warm packs on both breasts.

Take a prescribed analgesic and expose breasts to air.

Answer and Explanation

The Correct Answer is D

A.   Avoid stimulation of the breasts and wear a tight bra. Avoiding breast stimulation and wearing a tight bra may exacerbate breast engorgement by preventing milk expression and constricting blood flow. This recommendation is not appropriate for managing engorgement.
B.   Express a small amount of breast milk by hand. While hand expression can help relieve engorgement, it may also stimulate further milk production, leading to increased engorgement. This recommendation may not be sufficient for managing severe engorgement.
C.   Place warm packs on both breasts. Warm packs can increase blood flow and may provide temporary relief from discomfort, but they are not the most effective intervention for breast engorgement. Warmth can also increase inflammation and swelling in some cases.
D.   Take a prescribed analgesic and expose breasts to air. Taking a prescribed analgesic can help relieve pain associated with breast engorgement, while exposing the breasts to air allows for
cooling and may reduce swelling. This recommendation addresses both pain relief and management of engorgement symptoms.

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Correct Answer is B

Explanation

A. Providing counseling about contraceptives may not address the immediate concern of managing genital herpes or the risks associated with multiple sexual partners.
B. Remaining non-judgmental and assuring the client of confidentiality is crucial to establishing trust and ensuring open communication. This approach encourages the client to share accurate information about their sexual history and current concerns, which is essential for effective STI management and prevention.
C. Informing the client that complications will not result from reinfection is inaccurate and may minimize the seriousness of the STI. Genital herpes can cause recurrent outbreaks and potentially lead to complications such as neonatal herpes if transmitted to a newborn during childbirth.

D. Clarifying that all STIs are transmitted through sexual intercourse is true but does not address the client's specific situation or provide guidance on managing genital herpes and reducing the risk of transmission.

A. Gastric Irritation. B. Moon facies. C. Abdominal striae. D. Rapid weight gain.

Correct Answer is D

Explanation

A. Gastric Irritation.

While gastric irritation is a common side effect of prednisone, it is not as critical as some other potential adverse effects and can often be managed with medication or dietary changes.

B. Moon facies.

Moon facies is a sign of Cushing's syndrome, a potential long-term side effect of prednisone, but it does not require immediate reporting compared to more acute symptoms.

C. Abdominal striae.
Abdominal striae (stretch marks) are a long-term side effect of corticosteroids like prednisone, but they are not typically an urgent concern.

D. Rapid weight gain.

This is the correct answer because rapid weight gain can indicate fluid retention, which may be a sign of more serious side effects such as heart failure or severe hypertension. It requires prompt medical attention to prevent further complications.

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A postpartum client who is bottle-feeding develops breast engorgement. Which is the best recommendation for the nurse to provide this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with the sexually transmitted infection (STI) genital herpes. The client reports having sex with multiple partners. Which response should the nurse provide?

Correct Answer is B

Explanation

The nurse is providing discharge instructions to a client with gout in the left great toe who received a prescription for prednisone 30 mg by mouth to be administered each day. Which symptom should the nurse explain is most important for the client to report to the healthcare provider?

Correct Answer is D

Explanation

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