Nokea
A nurse is reinforcing discharge teaching about home safety with a client who is postpartum. In which of the following positions should the nurse instruct the client to place their newborn in the crib?
- A. Supine
- B. Prone
- C. Left lateral
- D. Right lateral
Correct Answer: A
Rationale: Placing the newborn supine reduces the risk of sudden infant death syndrome (SIDS), ensuring optimal airway patency and safety during sleep.
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A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia.
Which of the following medications should the nurse plan to administer?
- A. Acyclovir
- B. Metronidazole
- C. Tetracycline
- D. Amoxicillin
Correct Answer: D
Rationale: Amoxicillin is a safe and effective antibiotic for treating chlamydia in pregnant women, avoiding tetracyclines which are contraindicated due to fetal risks.
A nurse is contributing to the plan of care for a client who is postpartum and has mastitis.
Which of the following actions should the nurse plan to take?
- A. Prepare the client for an abdominal sonogram.
- B. Encourage the client to continue to breastfeed
- C. Encourage the client to wear a bra that is loose fitting
- D. Limit the client's daily fluid intake.
Correct Answer: B
Rationale: Continuing to breastfeed is recommended for clients with mastitis. Breastfeeding helps to drain the breast and can speed up recovery. It also helps to prevent complications such as breast abscess and supports continued milk production.
A home health nurse is caring for a client who has unilateral mastitis and is experiencing discomfort in the affected breast.
Which of the following instructions should the nurse include?
- A. Tell the client to apply hydrocortisone ointment to the affected area of the breast.
- B. Suggest the client apply warm compresses to the affected breast
- C. Recommend the client avoid wearing a nursing bra until symptoms resolve
- D. Encourage the client to limit oral fluid intake to decrease milk production
Correct Answer: B
Rationale: Applying warm compresses to the affected breast can help relieve pain and promote milk flow, which can aid in resolving the infection. Warmth can help reduce inflammation and make breastfeeding or pumping less painful.
A nurse is caring for a client who is at 9 weeks of gestation and reports nausea in the morning that continues until midafternoon.
Which of the following actions should the nurse encourage the client to take?
- A. Restrict fluids to 1,000 mL/day.
- B. Take an over-the-counter antacid
- C. Increase intake of fresh fruits
- D. Eat dry, bland foods in the morning
Correct Answer: D
Rationale: Encouraging the client to eat dry, bland foods in the morning, like crackers or toast, can help alleviate nausea associated with morning sickness by settling the stomach, making it an effective strategy.
A nurse is assisting with the admission of a client who has hyperemesis gravidarum.
Which of the following laboratory tests is the priority to complete?
- A. Serum bilirubin
- B. Liver enzymes
- C. Urinalysis for ketones
- D. CBC
Correct Answer: C
Rationale: Urinalysis for ketones is the priority to assess dehydration and ketosis from severe vomiting in hyperemesis gravidarum, guiding immediate treatment to prevent complications.