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    RN Comprehensive Predictor 2023 Proctored Exam

    A nurse is caring for a postpartum client in an outpatient setting. Exhibits Complete the following sentence by using the lists of options. The client is at highest risk for developing dropdownevidenced by the client'sdropdown.

    Explanation & Rationale

    The client is at highest risk for developing mastitis evidenced by the client's cracked nipple. Rationale: Mastitis is a breast infection that can occur in breastfeeding individuals, often caused by bacteria entering through cracked or damaged nipples. The client reports nipple discomfort throughout feeding and has a visible crack on the left nipple, which increases the risk of infection. Mastitis symptoms include breast pain, swelling, redness, fever, and flu-like symptoms. If untreated, it can lead to an abscess. Incorrect Options: Endometritis is an infection of the uterine lining, but the client has no uterine tenderness, fever, or foul-smelling lochia, making this unlikely. Perineal hematoma is a collection of blood in the perineal area, often presenting with severe pain and pressure. The client only reports mild perineal discomfort (2/10), which is not suggestive of a hematoma.

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