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 D
Explanation
A. A FHR baseline of 125 is within the normal range for a fetal heart rate.
B. A temperature of 99.9°F is a mild elevation and may not be an immediate concern.
C. Blood pressure of 142/90 may be elevated but may not require immediate action unless associated with other concerning symptoms.
D. Contractions lasting 45-60 seconds are prolonged and may lead to decreased fetal oxygenation. This finding should be reported immediately to the charge nurse.
Correct Answer is ["67"]
Explanation
To calculate the flow rate in mL/hr, we need to use the following formula:
Flow rate (mL/hr) = Dose (g/hr) x Volume (mL) / Concentration (g)
In this case, the dose is 2 g/hr, the volume is 1000 mL, and the concentration is 30 g. Plugging these values into the formula, we get:
Flow rate (mL/hr) = 2 x 1000 / 30 Flow rate (mL/hr) = 66.67
To follow the rounding rules, we need to round this answer to the nearest whole number.
Therefore, the flow rate in mL/hr is 67.
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