A breast-feeding patient must take a prescription medication for 2 weeks. The medication is safe, but the patient wants to make sure her baby receives as little of the drug as possible. What will the nurse tell the patient?
a. To give the baby formula as long as the mother is taking the medication
b. To take the medication immediately after breast-feeding
c. To pump breast milk and feed the baby by bottle
d. To take the medication 1 hour before breast-feeding
ANS: B
Taking the medication immediately after breast-feeding minimizes the drug concentration in the breast milk at the next feeding. Disrupting breast-feeding is not indicated. Pumping the breast milk will not diminish the drugs or drug concentration in the breast milk. Taking the medication 1 hour before breast-feeding will increase concentrations of the drug in the breast milk.
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A nurse is developing a care plan for a patient who has multiple sclerosis. An expected outcome for the patient who is receiving glatiramer would be a decrease in
A) chest pain. B) fatigue. C) breathing difficulties. D) heart palpitations.
The mother of a female preschool-age child is concerned that the child is developing an unhealthy attachment to her father. About which behavior should the nurse instruct the mother?
A) Electra complex B) Oedipus complex C) Freudian complex D) Sexual identification complex
A nurse studying critical thinking theories can generalize the process as
a. a reflective process of gathering and evaluating data to choose a course of action. b. one conceptual mechanism for critiquing ideas and establishing goal-oriented care. c. researching best-practice literature to create care pathways for certain populations. d. using the nursing process to design individualized and specific nursing care plans.
To reduce potential adverse effects, patients taking a peripherally acting alpha1 antagonist should do all of the following EXCEPT:
1. Take the dose at bedtime 2. Sit up slowly and dangle their feet before standing 3. Monitor their blood pressure and skip a dose if the pressure is less than 120/80 4. Weigh daily and report weight gain of greater than 2 pounds in one day