The nurse is educating a first-time mother with a 1-week-old boy. Which of the following is the most accurate anticipatory guidance?
A) Describing the effect of neonatal teeth on breastfeeding
B) Explaining that the stomach holds less than 1 ounce
C) Informing that fontanels will close by 6 months
D) Telling that the step reflex persists until the child walks
B
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When a 40-year-old patient cries and has a tantrum when the physician refuses to give her a prescription for diet pills, the nurse observes the use of the defense mechanism of:
a. compensation. b. denial. c. regression. d. repression.
The flu vaccine can be administered to infants as young as 6 months
Indicate whether the statement is true or false
The nurse is caring for a patient who has been taking doxazosin (Cardura). He says, "I'm not going to take these drugs anymore, because they're interfering with my sex life." Select the nurse's best response
a. "It's unfortunate that these drugs can cause erectile dysfunction, but managing your blood pressure is more important than your sexual performance." b. "I understand how discouraging it must be to live with this side effect, but you could have a stroke if you don't take your blood pressure drugs." c. "Let's discuss this effect with your health care provider. There are other alpha adrenergic blockers and also drugs available to manage this side effect." d. "I'm glad you told me about your experience with this side effect. Sexual per-formance can be a difficult subject to discuss."
A patient diagnosed with major depression asks a nurse if St. John's wort could be added to the drug being prescribed. The nurse's response should be:
a. "I can't prescribe medication for you. You will need to discuss your interest in the herbal supplement with your prescribing doctor.". b. "Let's speak with your psychiatrist at your next appointment about trying St. John's wort. Your psychiatrist can decide whether you should try it.". c. "You know that the medicine you are on now appears to be working well for you. You shouldn't add herbal supplements unless you feel more depressed.". d. "Let's find some information on St. John's wort and how it interacts with the medicines you are now taking; then we can talk about it with your doctor.".