A patient who is taking lithium shares with the nurse, "I'm planning to breast-feed my baby who is due to be born in 2 months.". Which statement shows the best understanding of the effect of lithium on breast-feeding?
a. "Your medication would be excreted in your breast milk, so let's discuss a safer option for your baby.".
b. "Your medication will cause the breast milk to have an unpleasant taste and will likely cause your infant to be gassy.".
c. "This medication will likely affect your ability to lactate, resulting in a marked decrease in breast milk production.".
d. "This medication can cause extreme mood fluctuations, which can have a negative effect on your ability to produce breast milk.".
A
Lithium crosses the placental barrier and is excreted in the breast milk, so breast-feeding is not an option. Lithium should only be taken by pregnant women when it is an absolute necessity.
You might also like to view...
A client is malnourished and needs encouragement and assistance to eat. Which activities does the nurse delegate to the unlicensed assistive personnel (UAP) when giving this client a food tray? (Select all that apply.)
a. Open food packages and cut food if needed. b. Remove the urinal from the bedside table. c. Assess the client's ability to swallow. d. Report to the nurse pain described by the client. e. Sit with the client and do not rush the feeding.
When teaching a client prescribed timolol maleate, the nurse should include that beta-adrenergic blocking eyedrops work by:
a. reducing the production of aqueous humor. b. constricting the pupil and contracting the ciliary muscles. c. lowering intraocular pressure with little effect on visual acuity. d. facilitating the outflow of aqueous humor.
How can the nurse expect to be impacted by nursing informatics?
a. The nurse would not be directly impacted unless he or she worked in nursing infor-matics. b. Nurses at the bedside are minimally im-pacted. c. Nurses are impacted by the use of barcode medication administration. d. Nurse managers are the only hospital staff who are impacted.
The extent of harm can only be confirmed by the:
a. doctor in charge of medical case. b. ward nurse responsible for the patient. c. person who has been harmed. d. all of the above.