A woman has a history of drug use and is screened for hepatitis B during the first trimester. What is an appropriate action?
a. Provide a low-protein diet.
b. Offer the vaccine.
c. Discuss the recommendation to bottle-feed her baby.
d. Practice respiratory isolation.
ANS: B
A person who has a history of high risk behaviors should be offered the hepatitis B vaccine. Care is supportive and includes bed rest and a high-protein, low-fat diet. The first trimester is too early to discuss feeding methods with a woman in the high risk category. Hepatitis B is transmitted through blood.
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A nurse administers warfarin (Coumadin) to a patient who is concurrently taking drug X, which also is highly protein bound. The nurse would anticipate that drug X will act at the receptor site as a
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