A newly delivered mother who intends to breastfeed tells her nurse, "I am so relieved that this pregnancy is over so I can start smoking again." The nurse encourages the woman to refrain from smoking

However, this new mother insists that she will resume smoking. The nurse will need to adapt her health teaching to ensure that the woman is aware that: a. Smoking has little or no effect on milk production.
b. There is no relation between smoking and the time of feedings.
c. The effects of secondhand smoke on infants are less significant than for adults.
d. The mother should always smoke in a room away from the baby.


D

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A Smoking may impair milk production. When the products of tobacco are broken down, they cross over into the breast milk. Tobacco also results in a reduction of the antiinfective properties of breast milk.
B Research supports that mothers should not smoke within 2 hours before a feed-ing.
C The effects of secondhand smoke on infants include sudden infant death syn-drome.
D For all of the above reasons, the new mother should be encouraged not to smoke. If she continues to smoke, she should be encouraged to always smoke in a room away from the baby.

Nursing

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The nurse is a member of a committee to design a critical care unit in a new building. Which design trend would best to facilitate family-centered care?

a. Ensure that the patient's room is large enough and has adequate space for a sleeper sofa and storage for family members' personal belongings. b. Include a diagnostic suite in close proximity to the unit so that the patient does not have to travel far for testing. c. Incorporate a large waiting room on the top floor of the hospital with a scenic view and amenities such as coffee and tea. d. Provide access to a scenic garden for meditation.

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Which of the following instructions should a nurse provide a client with cardiomyopathy to avoid pulmonary complications that may compromise cardiopulmonary function?

A) Stay within the level of exercise tolerance. B) Receive the pneumonia vaccine and yearly influenza vaccinations. C) Eat a diet high in sodium. D) Keep appointments for medical follow-up.

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The role of the psychiatric nurse in today's contemporary practice settings is:

a. centered on the nurse-patient partnership. b. concentrated on psychosomatic therapies. c. centered on management of the patient's daily needs. d. caring for chronically ill psychiatric patients in acute-care settings.

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Cardiovascular failure is a major cause of which type of acute renal failure?

a. Prerenal b. Intrarenal c. Postrenal d. Petirenal

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