Nokea
What statement by the patient leads the nurse to determine a woman with mastitis understands treatment instructions?
- A. I will apply cold compresses to the painful areas.'
- B. I will take a warm shower before nursing the baby.'
- C. I will nurse first on the affected side.'
- D. I will empty the affected breast every 8 hours.'
Correct Answer: B
Rationale: Moist heat promotes blood flow to the area, comfort, and complete emptying of the breast.
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The nurse instructs the postpartum patient that her nutritional intake should include which food(s) particularly supportive to healing?
- A. Legumes
- B. Potatoes and pasta
- C. Citrus fruits
- D. Rice
- E. Cantaloupe
Correct Answer: A,C,E
Rationale: Legumes and foods containing vitamin C, such as citrus fruits and cantaloupe, are conducive to healing. Starches like potatoes and pasta are not.
What does the nurse recognize as the cause of this woman's symptoms?
- A. Bipolar disorder
- B. Major depression
- C. Postpartum blues
- D. Postpartum depression
Correct Answer: B
Rationale: Major depression is characterized by deep feelings of worthlessness, guilt, serious sleep and appetite disturbances, and sometimes delusions about the infant being dead.
Where does the patient report that the pain is felt?
- A. Groin
- B. Achilles tendon
- C. Top of the foot
- D. Calf of the leg
Correct Answer: D
Rationale: A pain in the calf of the leg when the leg is flexed and the foot is dorsiflexed is a positive Homans' sign, suggestive of deep vein thrombosis.
What is the most likely cause?
- A. Pulmonary embolism
- B. Hypertension
- C. Allergy
- D. Blood clotting disorder
Correct Answer: C
Rationale: Anaphylactic shock is caused by allergic responses to drugs administered.
The nurse weighs a saturated perineal pad and finds it to weigh 15 grams. The nurse is aware that this indicates a blood loss of __ mL.
Correct Answer: 15
Rationale: The weight of 1 g in a perineal pad is equal to 1 mL of blood loss.