A young female client with cystic fibrosis (CF) wishes to become pregnant but is concerned about the effect of CF on fertility. The nurse bases a response with the understanding that
a. breastfeeding will not be possible because of plugged milk glands.
b. only about 20% of women with CF are infertile.
c. pregnancy carries a high risk of spontaneous abortion (miscarriage).
d. women with CF are unlikely to become pregnant.
B
CF does affect reproduction. Most men are azoospermic because of obliteration of the vas deferens; 20% of women are infertile. Thick tenacious cervical mucus can block sperm migration. More than 90% of completed pregnancies produce viable infants, and breastfeeding is not affected.
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When should discharge planning begin for a patient receiving home care services?
a. A week before discharge b. Two days before discharge c. The day of discharge d. On admission
Which is an appropriate guideline for the older diabetic client who wants to include alcoholic beverages in the diet?
A) Diabetics should never drink alcoholic beverages at all because alcohol is "empty calories." B) An alcoholic beverage, such as 12 ounces of beer or 5 ounces of wine, can be substituted for a snack. C) The alcohol must be included in the total caloric intake and used as a substitute for protein calories. D) Alcohol should always be consumed with food to prevent the onset of hypoglycemia.
Research done on increasing the effectiveness of client teaching has found that the type of nutritional counseling that is most effective is that done by whom?
A) Nurses and dietitians C) Dietitians alone B) Physicians D) The client's family
A preterm newborn, after spending 8 weeks in the NICU, is being discharged. The parents of the newborn express apprehension and worry that the newborn may still be in danger. The nurse should recognize that this is:
a. normal. b. a reason to postpone discharge. c. suggestive of maladaptation. d. suggestive of inadequate bonding.