Author Question: The nurse provides client teaching to prevent development of mastitis by instructing the mother to: ... (Read 46 times)

arivle123 · **on:** Jul 22, 2018

The nurse provides client teaching to prevent development of mastitis by instructing the mother to:

1. Use an antibacterial soap to clean the breasts.
2. Scrub the nipples before every feeding with soap and water.
3. Wear a supportive bra even when sleeping.
4. Never completely empty the breast when breastfeeding.

Question 2

The nurse is helping the adolescent diagnosed with Crohn's disease choose appropriate foods. The nurse concludes that the client understands the dietary teaching when choosing which of the following?

1. Ice cream, spinach, lean beef, and a tossed salad
2. Milk, chicken, cooked carrots, and an apple
3. Chicken, canned cherries, white rice, and ice cream
4. Dried fruit, canned corn, beef hamburger, and mashed potatoes

adammoses97 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3
Rationale: The client can avoid mastitis by wearing a supportive bra even at night when sleeping, which helps to position the breasts for proper drainage and prevent pooling of milk. While hygiene is important, the client should avoid antibacterial soaps and scrubbing of the nipples to prevent cracking and drying, which will provide a portal of entry for bacteria. The woman should empty both breasts when breastfeeding to prevent overdistention.

Answer to Question 2

3
Rationale: The client with Crohn's disease is placed on a low-fiber diet. This client can have fruits and vegetables that are cooked or canned without seeds or skin. A tossed salad contains raw vegetables. An apple has skin, and is high in fiber. Dried fruit is high in fiber.