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A nurse caring for a client during the first 24 hours following delivery notes normal lochia. Which of the following should the nurse include in the care of this client?____

a. Encourage the client to increase fluid intake.
b. Instruct the client to avoid breastfeeding.
c. Recommend immediate resumption of strenuous physical activity.
d. Administer diuretics to reduce fluid retention.

User Brousch
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Final answer:

The nurse should encourage the client to increase fluid intake following delivery. Advising against strenuous activity and supporting breastfeeding are also important, while avoiding unnecessary medications like diuretics unless clinically indicated.

Step-by-step explanation:

A nurse caring for a client during the first 24 hours following delivery who notes normal lochia should include the following in the care of the client: encouraging the client to increase fluid intake. Proper hydration is essential for recovery and also supports breast milk production. Other important aspects include avoiding strenuous physical activity to allow the body time to recover, and facilitating the process of uterine involution and breastfeeding, which can both be aided by oxytocin released during nursing.

It is essential to avoid providing advice that could interfere with the recovery process, such as recommending immediate resumption of strenuous physical activity, or advising against breastfeeding, which is beneficial for both the baby and the mother. Similarly, administering diuretics is generally not advisable unless clinically indicated, as it could affect the natural process of fluid balance postpartum.

User Stuartloxton
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