A client who is breast-feeding has a temperature of 102°F (38.9℃) and complains that her breasts are engorged. Her breasts are swollen, hard, and red. Which of the following actions would be inappropriate in managing the client's breast engorgement
Applying frozen cabbage leaves to the breasts.
B. Encouraging the client to shower with her back to the water.
C. Encouraging the client to nurse her baby frequently.
D. Applying a breast binder to support the breasts.
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Pericardiocentesis is performed on a client with cardiac tamponade. This procedure would be deemed effective if
A. aspirated blood clots rapidly.
B. blood pressure decreases.
C. blood pressure increases.
D. heart sounds become muffled.
A term neonate's mother is O-negative, and cord studies indicate that the neonate is A-positive. Which of the following would be least likely if the neonate developed neonate hemolytic disease
A. Lethargy or irritability.
B. Poor feeding patterns including vomiting.
C. Weight loss greater than 10%.
D. Signs of kernicterus.
A client is hospitalized with a diagnosis of chronic renal failure. An arteriovenous fistula was created in his left arm for hemodialysis. When preparing the client for discharge, the nurse should reinforce which dietary instruction
A. "Be sure to eat meat at every meal. "
B. "Monitor your fruit intake and eat plenty of bananas. "
C. "Restrict your salt intake. "
D. "Drink plenty of fluids. "
Which of the following would be least likely to indicate anticipated bonding behaviors by new parents
A. The parents' willingness to touch and hold the neonate.
B. The parents' expression of interest about the size of the neonate.
C. The parents' indication that they want to see the neonate.
D. The parents' interactions with each other.