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What is a patient statement that indicates effective teaching after a new diagnosis of nonlactational mastitis?
- A. “I will avoid wearing a bra until I feel better.”
- B. “I should take steps to stop smoking cigarettes.”
- C. “Applying an ice pack to my breasts can help reduce pain.”
- D. “I should take the prescribed antibiotics until I feel better.”
Correct Answer: D
Rationale: The statement "I should take the prescribed antibiotics until I feel better" indicates effective teaching after a new diagnosis of nonlactational mastitis. Nonlactational mastitis is commonly treated with antibiotics to help clear up the infection. It is crucial for the patient to follow the prescribed antibiotic regimen as directed by their healthcare provider to ensure the infection is fully treated and to prevent it from worsening or recurring. Compliance with the antibiotic treatment plan is essential for successful management of nonlactational mastitis.
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The nurse is interviewing a patient who is 6-weeks pregnant. The patient asks the nurse, “Why is elective abortion considered such an ethical issue?” Which response by the nurse is most appropriate? N R I G B.C M
- A. Abortion requires third-parUty cSonseNnt. T O
- B. The U.S. Supreme Court ruled that life begins at conception.
- C. Abortion law is unclear about a woman’s constitutional rights.
- D. There is a conflict between the rights of the woman and the rights of the fetus.
Correct Answer: D
Rationale: The most appropriate response by the nurse is that there is a conflict between the rights of the woman and the rights of the fetus when discussing elective abortion as an ethical issue. This response highlights the ethical dilemma involved in abortion, where one must consider the rights and autonomy of the pregnant woman as well as the potential rights of the fetus. Ethical debates often revolve around balancing these conflicting rights and interests, making elective abortion a complex and sensitive issue. It acknowledges the ethical implications of abortion without making definitive statements or legal references like the other options.
A client is concerned that her breasts are engorged and uncomfortable. What is the nurse's explanation for this physiologic change?
- A. Overproduction of colostrum
- B. Accumulation of milk in the lactiferous ducts and glands
- C. Hyperplasia of mammary tissue
- D. Congestion of veins and lymphatic vessels
Correct Answer: D
Rationale: Breast engorgement is caused by the temporary congestion of veins and lymphatic vessels.
The nurse is providing instruction to the newly delivered client regarding postbirth uterine and vaginal discharge, called lochiWhich statement is the most appropriate?
- A. Lochia is similar to a light menstrual period for the first 6 to 12 hours.
- B. It is usually greater after cesarean births.
- C. Lochia will usually decrease with ambulation and breastfeeding.
- D. It should smell like normal menstrual flow unless an infection is present.
Correct Answer: D
Rationale: Lochia should smell like normal menstrual flow; an offensive odor usually indicates an infection.
A nurse is caring for a patient who states she is experiencing a thin vaginal discharge with a strong fishy odor. What test does the nurse prepare?
- A. whiff test
- B. vaginal culture
- C. urine culture
- D. blood test
Correct Answer: A
Rationale: A nurse caring for a patient who presents with a thin vaginal discharge with a strong fishy odor should prepare for performing a whiff test. The whiff test, also known as the amine or sniff test, is used to aid in the diagnosis of bacterial vaginosis (BV). BV is a common vaginal infection characterized by an overgrowth of harmful bacteria in the vagina and can cause symptoms like thin, grayish-white discharge with a strong fishy odor.
The nurses working at a newly established birthing center have begun to compare their performance in providing maternal-newborn care against clinical standards. This comparison process is most commonly known as what?
- A. Best practices network
- B. Clinical benchmarking
- C. Outcomes-oriented practice
- D. Evidence-based practice
Correct Answer: C
Rationale: Outcomes-oriented practice measures the effectiveness of interventions and quality of care against benchmarks or standards.