The pregnant patient plans to breastfeed her baby. She asks the nurse about the use of herbal products during breastfeeding. What is the best response by the nurse?

1. "Be sure to check the label to see if the herbal product could be used during breastfeeding."
2. "Most drugs can be transferred to the infant during breastfeeding, so this is not recommended."
3. "Herbal products are considered natural, so it should be fine to use them during breastfeeding."
4. "This should be fine, as long as there is at least 12 hours between the time you use the product and when you breastfeed."


2
Rationale 1: The bottle may not be labeled for breastfeeding, so the patient should check with the nurse.
Rationale 2: It is best to avoid as many drugs as possible during breastfeeding.
Rationale 3: Herbal products are drugs.
Rationale 4: There is no safety time limit established between the use of the product and breastfeeding.
Global Rationale: It is best to avoid as many drugs as possible during breastfeeding. The bottle may not be labeled for breastfeeding, so the patient should check with the nurse. There is no safety time limit established between the use of the product and breastfeeding. Herbal products are drugs.

Nursing

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A female patient will receive doxycycline to treat a sexually transmitted illness (STI). What information will the nurse include when teaching this patient about this medication?

a. Nausea and vomiting are uncommon adverse effects. b. The drug may cause possible teratogenic effects. c. Increase intake of dairy products with each dose of this medication. d. Use a backup method of contraception if taking oral contraceptives.

Nursing

A nurse is treating the pressure ulcer of an African American client. How would the nurse assess for deep tissue injury in this client?

A) Upon inspection the nurse would notice a purple or maroon localized area of discolored, intact skin. B) Upon inspection, the nurse would see a blood-filled blister due to damage of underlying soft tissue from pressure and/or shear. C) Upon palpation, the nurse determines that the area preceded by deep tissue injury is painful, firm, boggy, warmer or cooler as compared with adjacent tissue. D) Upon inspection the nurse notes partial thickness loss of dermis presenting as a shallow open ulcer with a red-pink wound bed, without slough.

Nursing

Examples of secondary health promotion or illness prevention practices are: a. obtaining immunisations, maintaining ideal bodyweight and wearing a seat belt

b. regular Papanicolaou (PAP) smears, regular PSAtests, regular dental checks and regular glaucomatesting. c. cardiac rehabilitation, learning to walk with aprosthesis and regular breast/testes checks. d. regular Papanicolaou (PAP) smears, maintaining ideal body weight, regular dental checks and regular glaucoma testing.

Nursing

The leading cause of death by a wide margin in young U.S. adults aged 25 to 44 is

a. Alzheimer's disease. b. Cardiac disease. c. Malignant neoplasms. d. Unintentional injury.

Nursing