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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.

Suggest the client apply warm compresses to the affected breast.

B.

Recommend the client avoid wearing a nursing bra until symptoms resolve.

C.

Encourage the client to limit oral fluid intake to decrease milk production.

D.

Tell the client to apply hydrocortisone ointment to the affected area of the breast

Answer and Explanation

The Correct Answer is A

Choice A rationale

 

Warm compresses can help alleviate pain and inflammation associated with mastitis. The heat from the compresses increases blood flow to the affected area, promoting healing and reducing discomfort.

 

Choice B rationale

 

Wearing a nursing bra can provide support and reduce discomfort for individuals with mastitis. Avoiding a nursing bra may lead to increased pain and discomfort due to lack of support.

 

Choice C rationale

 

Limiting oral fluid intake is not recommended for individuals with mastitis. Adequate hydration is essential for overall health and can help maintain milk production, which is important for breastfeeding mothers.

 

Choice D rationale

 

Hydrocortisone ointment is not typically recommended for treating mastitis. The primary treatment for mastitis includes antibiotics, pain relief, and supportive measures such as warm compresses and continued breastfeeding.


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

White blood cell count is not an indicator of anemia. It measures immune function and can indicate infection or inflammation.

Choice B rationale

Urine specific gravity does not identify the risk for pregnancy-induced hypertension. It measures the concentration of urine and can indicate hydration status.

Choice C rationale

Sedimentation rate does not check for signs of cancer. It measures inflammation in the body and can indicate various conditions.

Choice D rationale

Platelet count identifies if the client is at risk for bleeding. Low platelet levels can indicate a higher risk of bleeding and are important to monitor during pregnancy.

Correct Answer is A

Explanation

Choice A rationale

Oral contraceptives decrease the risk for endometrial cancer by regulating the menstrual cycle and reducing the frequency of ovulation, which lowers the exposure of the endometrium to estrogen.

Choice B rationale

Combined estrogen-progestin contraceptive pills typically shorten and lighten menstrual periods, rather than causing longer periods.

Choice C rationale

Medroxyprogesterone acetate injections are administered every three months, not once per month.

Choice D rationale

Diaphragms need to be replaced every 1-2 years, not every 4 years, to ensure proper fit and effectiveness.

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