The nurse working on a postpartum unit is asked by the new mother, "Can I breastfeed even though I am HIV-positive?" The nurse's best answer is:
1. "You can try to breastfeed and see if you have enough milk."
2. "HIV can be transferred to a baby though the mother's breast milk"
3. "No, you should not breastfeed."
4. "Breastfeeding can be tiring, and you need to keep up your strength"
2
Rationale: The HIV infection is transmitted in breast milk, so breastfeeding is generally discouraged in mothers with the disease. Telling the mother simply "no" does not explain why breastfeeding is not recommended.
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The nurse working with older clients understands age-related changes in the gastrointestinal system. Which changes does this include? (Select all that apply.)
a. Decreased hydrochloric acid production b. Diminished sensation that can lead to constipation c. Fat not digested as well in older adults d. Increased peristalsis in the large intestine e. Pancreatic vessels become calcified
During an admission assessment the nurse collects objective and subjective data. An example of subjective data is the patient:
a. is coughing. b. has cyanosis of the lips. c. experiences tachypnea. d. complains of generalized discomfort.
The nurse is preparing to collect a specimen from a client for culture. Which of the following should the nurse keep in mind when collecting this specimen?
a. The client should be fasting. b. The specimen should be collected early in the morning. c. The specimen should be collected before antibiotics are started. d. The client should drink a high volume of fluids before the specimen is obtained.
The health care provider has prescribed surfactant, beractant (Survanta), to be administered to an infant with respiratory distress syndrome (RDS). The nurse understands that the beractant will be administered by which route?
a. Orally b. Intravenously c. Via the ET tube d. Intramuscularly