The nurse takes a phone call from a client at two weeks postpartum. The client states, "My left breast hurts." What other question will the nurse ask her to determine if it is mastitis?
"Do you have an inverted nipple on the affected breast?"
"Do you have breast milk in the affected breast?"
"Is there a bruised area on the affected breast?"
"Is there a hardening of an area in the affected breast?"
The Correct Answer is D
A. An inverted nipple is not indicative of mastitis.
B. Presence of breast milk is expected postpartum and does not specifically indicate mastitis.
C. A bruised area is not a common sign of mastitis.
D. Mastitis often presents with localized pain, redness, swelling, and a hardening of the affected area of the breast. Asking about the presence of a hardening will help assess for mastitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["100"]
Explanation
To calculate the flow rate in mL/hr, we need to use the following formula:
Flow rate (mL/hr) = Dose (mU/min) x Volume (mL) / Concentration (units)
In this case, the dose is 2 mU/min, the volume is 1000 mL, and the concentration is 20 units. Plugging these values into the formula, we get:
Flow rate (mL/hr) = 2 x 1000 / 20 Flow rate (mL/hr) = 2000 / 20 Flow rate (mL/hr) = 100
Therefore, the flow rate in mL/hr is 100.
Correct Answer is B
Explanation
A. Industry vs. inferiority is relevant to the age range of 6 to 12 years, focusing on the development of competence and mastery in skills. However, it may not be as directly related to the immediate care following an asthma exacerbation.
B. Initiative vs. guilt is the stage where a child starts to take more initiative and responsibility for their own actions. Planning home care involves encouraging the child to take initiative in
managing their asthma, promoting a sense of control over their health.
C. Identity vs. role confusion is more applicable to adolescence and focuses on the formation of a stable self-identity.
D. Autonomy vs. shame and doubt is relevant to the toddler age range, emphasizing the development of independence. While independence is important, the immediate concern in the given scenario aligns more with the initiative and responsibility associated with the school-age child.
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