Answer to Question 1
Correct Answer: 3
Rationale 1: Removing her bra will only serve to increase breast milk production.
Rationale 2: Applying heat will promote breast milk production.
Rationale 3: Applying ice packs to the breasts relieves discomfort through the numbing effect of ice.
Rationale 4: Limiting breastfeeding to b.i.d. actually would decrease the flow of breast milk eventually, and would not serve to decrease the discomfort of mother or infant.
Answer to Question 2
Correct Answer: 1
Rationale 1: This is the best option, because the patient is experiencing moderately severe pain with inflammation. Ibuprofen is a nonsteroidal anti-inflammatory drug that both reduces inflammation and provides pain relief.
Rationale 2: This medication is contraindicated because of the patient's allergic reaction to acetaminophen.
Rationale 3: Topical anesthetic sprays can be a helpful adjunct in pain relief, but are not sufficient when a patient has moderately severe pain.
Rationale 4: Ice packs would be better at this stage, because they will cause vasoconstriction to reduce edema and pain relief.
Patient Teaching
Teaching patient discharge instructions
Computerized Patient Record (CPR)
The reminder card should be completed and handed to the patient after the appointment is scheduled.
Apply direct pressure to the patient’s wound.
A pacemaker in a patient’s chest.