A pregnant client asks why a steroid medication cannot be used for an allergic skin disorder. The nurse's most accurate response is:
1. "Steroids have the potential to cross the placenta, and should be avoided during pregnancy."
2. "The cause of your skin disorder is directly linked to your pregnancy. After you deliver, your skin should get better."
3. "Steroids will likely cause you to have an abortion; you'll have to put up with your skin disorder until after delivery."
4. "Steroids can cause liver failure, and are not recommended at this time."
Correct Answer: 1
Rationale 1: Steroids have the potential to cross the placenta, and should be avoided in pregnancy and lactation.
Rationale 2: The client's skin disorder is not linked to the pregnancy.
Rationale 3: Steroids do not cause spontaneous abortions.
Rationale 4: Pregnancy does not increase risk of liver damage from steroids.
Global Rationale: Steroids have the potential to cross the placenta and are secreted in breast milk. They should be avoided in pregnancy and lactation. The skin disorder is not linked to the pregnancy. Steroids do not cause spontaneous abortions and being pregnant does not increase risk of liver damage from steroids.
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When assessing motivation for learning, the nurse assesses for intrinsic factors, which include the
A) learning climate. B) physical environment. C) learner's attitude. D) time of teaching.
The mother was very upset and said to the nurse, "My mother would never have allowed such behavior. I punish the baby for doing it, and she just does it again." What might the nurse conclude from this interaction?
A. A referral should be made to outside resources such as local day care centers. B. The child is having difficulty mastering appropriate social skills and may be developmentally delayed. C. The family needs assistance with growth and development education. D. The mother feels both her own mother's disapproval and her own feeling that she is a failure. E. The mother is a very harsh disciplinarian who should be reported to children's protective services.
A nurse is assessing a client exhibiting decorticate posturing. Which of the following would the nurse observe?
A) Extended upper extremities B) Internally rotated lower extremities C) Pronated forearms D) Flexed hands at the side of the body
Heartburn associated with gastroesophageal reflux disease (GER
D) A) improves if the older client is lying flat or bending over. B) is unaffected by the size of meals eaten or the types of food. C) may cause chest pain severe enough to cause the older client to fear having a heart attack and seeking medical attention in an emergency care facility. D) will not put the older client at increased risk for esophageal cancer.