The nurse is providing care to a client, with a history of rheumatoid arthritis (RA), who is 5 months pregnant. Which nursing actions are appropriate when providing care to this client? Select all that apply
A) Telling the client there is an increased risk for preterm delivery because of salicylate therapy
B) Monitoring the client for anemia due to salicylate therapy
C) Suggesting the client begin supplemental pyridoxine
D) Educating the client that medication therapy may be discontinued due to remission
E) Teaching the client that RA may be contracted by the fetus during pregnancy
Answer: B, D
When providing care to a client with RA during pregnancy, the nurse will monitor the client anemia due to salicylate therapy and educate the client medication therapy may be discontinued if the client experiences remission during the pregnancy. Salicylate therapy is associated with prolonged gestation and labor. Supplemental pyridoxine is required for clients being treated with isoniazid for TB during pregnancy. RA cannot be contracted by the fetus during pregnancy.
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