The nurse is doing preconception counseling with an adult client with no prior pregnancies. Which client statement indicates that teaching has been effective?
A) "I can continue to drink alcohol throughout my pregnancy."
B) "A beer once a week will not damage the fetus."
C) "I don't need to stop drinking alcohol until my pregnancy is confirmed."
D) "I can't drink alcohol while breastfeeding, because it will pass into the breast milk."
Answer: D
Women should discontinue drinking alcohol when they attempt to become pregnant. It is not known how much alcohol will cause fetal damage; therefore, any amount of alcohol, even one beer, during pregnancy is contraindicated. Alcohol passes readily into breast milk; therefore, it should be avoided, or the milk should be pumped and dumped after alcohol consumption.
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A family member of an elderly Hispanic patient admitted to the hospital tells the nurse that the patient has traditional beliefs about health and illness. Being a patient advocate, the best action by the nurse is to
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Which of the following actions best reflects accountability for the client's care outcomes?
1. Reassessing a client's BP when the reported value is higher than usual 2. Assisting a team member in providing a client with a complete bed bath 3. Reevaluating a client's pain 30 minutes after administering pain medication 4. Asking a client's daughter to bring her father's non-skid slippers to the hospital