The patient is pregnant and asks the nurse about changing from her prescription antidepressant medication to St. John's wort because it is natural. What is the best response by the nurse?
1. "It should be okay because your baby has been exposed to an antidepressant."
2. "St. John's wort is a drug, and this should be discussed with your doctor."
3. "No, herbal preparations are just not safe to take during pregnancy."
4. "Yes, you can change, but let your doctor know at your next appointment."
2
Rationale 1: St. John's wort is not okay because the baby has not been exposed to it specifically.
Rationale 2: All herbal preparations are drugs, and their use should be discussed with the physician when a patient is pregnant.
Rationale 3: Some herbal preparations may be safe during pregnancy.
Rationale 4: It is not safe to tell a pregnant woman she can change antidepressants.
Global Rationale: All herbal preparations are drugs, and their use should be discussed with the physician when a patient is pregnant. St. John's wort is not okay because the baby has not been exposed to it specifically. It is not safe to tell a pregnant woman she can change antidepressants. Some herbal preparations may be safe during pregnancy.
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The nurse is teaching a class on basic assessment skills. Which of these statements is true regarding the stethoscope and its use?
a. Slope of the earpieces should point posteriorly (toward the occiput). b. Although the stethoscope does not magnify sound, it does block out extraneous room noise. c. Fit and quality of the stethoscope are not as important as its ability to magnify sound. d. Ideal tubing length should be 22 inches to dampen the distortion of sound.
The patient's temperature has reached 103.4° F. The nurse prepares to draw a blood culture before giving the patient an antipyretic medication. What is the best reason to draw a blood culture before giving an antipyretic medication?
a. The causative organism is most prevalent during a spike in temperature. b. Elevated temperatures slow metabolic rate and improve blood oxygenation. c. Increased blood flow leads to moist mucous membranes making blood draws easier. d. Venous distention is greater because of fluid retention secondary to hyperthermia.
In situations where clients are quiet and uncommunicative, which of the following interventions should be implemented by the nurse?
A) Probe the client and emphasize communication. B) Do not wait for reticent clients to share their feelings. C) Avoid assuming that the client has no problems. D) Allow clients to express their emotions without fear.
Which assessment findings indicate to the nurse that a child has excess fluid volume? Select all that apply
a. Weight gain b. Decreased blood pressure c. Moist breath sounds d. Poor skin turgor e. Rapid bounding pulse