Author Question: The postpartum client reports pain rated 4-5 and requests medication. The baby is crying and the ... (Read 68 times)

rayancarla1 · **on:** Jul 22, 2018

The postpartum client reports pain rated 4-5 and requests medication. The baby is crying and the mother thinks the baby is hungry. The nurse will:

1. Put the baby to breast while the nurse gets the client an analgesic.
2. Put the baby to breast and wait until after breastfeeding is completed for analgesia.
3. Administer the analgesic and give the baby a bottle so the mother doesn't have to breastfeed.
4. Give the analgesic immediately and then put the baby to breast.

Question 2

The nurse admits a client with a history of mitral valve stenosis who was admitted to the acute care facility for diagnostic testing related to a suspected diagnosis of prostate cancer. What physician's order would the nurse question?

1. Ambien (zolpidem) 10 mg PO h.s., p.r.n.
2. n.p.o. after midnight.
3. IV of D5W to infuse at 125 mL/hour
4. Erythromycin 1 gram IV 1 hour before procedure

underwood14 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4
Rationale: Breastfeeding will cause further uterine contractions, so administering the analgesic immediately is important, because the pain could get worse with breastfeeding. Analgesics are ordered by the physician that are safe for the breastfeeding mother, so there is no reason to delay administration.

Answer to Question 2

3
Rationale: The client with mitral valve stenosis is at risk for fluid retention, and infusing the IV at 125 mL/hour could cause fluid overload, so the nurse should question this order. A medication to help the client sleep the night before a procedure is a common order, as is n.p.o. at least eight hours before the procedure. Clients with mitral valve stenosis should receive an antibiotic prior to an invasive procedure and then for several days after the procedure to prevent bacterial endocarditis.