A postpartum client who experienced a traumatic birth expresses concerns about breastfeeding difficulties and emotional distress. What nursing intervention should be prioritized to address the client's concerns?

Correct Answer: A

Rationale: Providing emotional support and empathy for the client's experience should be prioritized to address concerns of a postpartum client who experienced a traumatic birth. Emotional support can help the client feel validated and heard, which can be instrumental in starting the healing process. By acknowledging the client's emotions and experiences, the nurse can establish trust and create a safe space for the client to express their feelings. This can also help in building a therapeutic relationship that can positively impact the client's emotional well-being. Providing a supportive environment is essential for addressing breastfeeding difficulties and emotional distress in this situation.

Correct Answer: C

Rationale: The presentation of persistent, severe headache, visual disturbances, and epigastric pain in a postpartum client could indicate the development of postpartum preeclampsia or eclampsia, which are serious conditions that require immediate medical attention. Prompt notification of the healthcare provider is essential to ensure timely assessment, diagnosis, and treatment to prevent potential complications for both the mother and baby. Encouraging rest, providing acetaminophen, or offering a massage are not appropriate interventions for addressing these symptoms, as they do not address the underlying cause and urgency of the situation.

Correct Answer: B

Rationale: When a patient is diagnosed with pneumonia, the breath sounds detected by the nurse on auscultation of the affected area would typically include fine crackles. Fine crackles are discontinuous, high-pitched crackling or rattling sounds heard during inspiration that indicate the presence of fluid in the small airways or alveoli. These crackles are caused by the movement of secretions or exudate within the bronchioles or alveoli, which is a common characteristic of pneumonia. Wheezing sounds are usually associated with conditions such as asthma, bronchitis, or COPD and are caused by narrowed airways. Stridor is a high-pitched, crowing sound that typically indicates an obstruction in the upper airway and is often heard in cases of laryngeal inflammation or foreign body aspiration. Deep and low-pitched breath sounds are more characteristic of conditions like chronic bronchitis.

Correct Answer: D

Rationale: A descriptive case study design is the most suitable approach when Nurse Carmi decides to make an in-depth study of only one subject of domestic violence. This design involves a comprehensive and detailed exploration of a single individual or a specific situation, allowing for an in-depth analysis of various aspects related to the subject. Since Nurse Carmi is focusing on studying only one subject, a case study design will enable her to gather detailed information, delve deep into the complexities of the individual's experiences, behaviors, and outcomes related to domestic violence. This design will provide a rich and holistic understanding of the single case being studied, offering valuable insights and potential implications for practice and intervention strategies.

Correct Answer: D

Rationale: Knowing the prevalence of diseases provides information on the magnitude of health problems within a community. Prevalence refers to the proportion of individuals in a population who have a particular disease or condition at a specific point in time. By understanding the prevalence rates of different diseases, healthcare providers can better assess the extent of health issues affecting the community. This information is crucial for prioritizing resources and interventions to address the most pressing health concerns effectively. Additionally, prevalence data can guide public health efforts in developing targeted prevention strategies and allocating resources appropriately to improve community health outcomes.