The nurse is instructing a pregnant patient about how to manage reflux. Which point about histamine H2 blockers does the nurse include in the teaching plan?
a. They are safe for use during pregnancy.
b. They may be used while breastfeeding.
c. They should only be taken with a prescriber's approval.
d. They can be prescribed instead of lifestyle changes to control reflux.
C
The use of histamine H2 blockers has not been studied in pregnant women and safe use has not been established. These drugs pass into breast milk so should be avoided while breastfeeding. During pregnancy, lifestyle changes (e.g., eating more slowly, eating smaller meals) should be tried first to control reflux. Pregnant women must consult with their prescriber before taking any drug for reflux.
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The public health nurse notes that certain diseases and health problems are becoming more prevalent in countries that previously had few issues. What should the nurse consider as reasons for this change? (Select all that apply.)
1. Health coverage for the disease has changed 2. People have visited countries with the disease 3. Reduced numbers of providers who treat the disease 4. People have moved into the country with the disease 5. People are living longer in the country with the disease
The nurse instructs an adolescent on the hazards of body piercings and tattoos. Which outcome indicates that teaching has been effective?
A) The patient gets a small tattoo on the inner ankle. B) The patient refuses to get eyebrow pierced with girlfriends. C) The patient observes a tattoo being done and decides to get one with an older brother. D) The patient limits body piercings and tattoos to areas on the trunk.
A patient comes to you because she is experiencing a tremor only when she reaches for things. This becomes worse as she nears the “target.” When you ask her to hold out her hands, no tremor is apparent. What type of tremor does this most likely represent?
A) Intention tremor B) Postural tremor C) Resting tremor D) Nervous tremor
One of the major goals of nursing care for autistic children is to:
A) Assist the psychiatrist and mental health team in providing treatments to cure the disorder B) Determine which of the two different types of autism the child has C) Discourage and prevent self-destructive behavior D) Provide behavior modification tools, specifically limit setting and reward systems