A pregnant client 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?

A. "It should be okay because your baby has been exposed to an antidepressant."
B. "St. John's wort is a drug, and this should be discussed with your healthcare provider."
C. "No, herbal preparations are just not safe to take during pregnancy."
D. "Yes, you can change, but let your doctor know at your next appointment."


Answer: B

Nursing

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The nurse manager in a perinatal clinic is reviewing research related to care of patients with cervical insufficiency and preterm birth. What practice change might result from this review of the literature?

A. Administering fewer doses of Rho(D) immune globulin (RhoGAM) B. Decreased utilization of cerclage placement in women with preterm labor C. Measuring serial cervical lengths in all women pregnant with singletons D. Providing betamethasone (Celestone) as long-term therapy

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The nurse is caring for a patient who has a PCA pump following total hysterectomy surgery. The nurse sees the visitor push the PCA button while the patient is sleeping quietly. What is the best response of the nurse?

a. "Thank you for pushing the button for her to help keep her comfortable after surgery." b. "Please do not push the button for the patientâ€"she could receive more medication than she needs." c. "You can push the button for her now, but please have her do it herself when she awakens." d. "PCA pumps are great because she doesn't have to wait for me to administer her pain medication."

Nursing

The nurse educates the older client that the greatest risk related to poor foot care results is:

a. bone fracturing falls. b. increased risk for infections. c. loss of independent mobility. d. chronic pain.

Nursing

The nurse is explaining the nutritional differences between breast milk and formula to an expectant couple. The mother-to-be asks whether breast milk is nutritionally superior to formula. What should the nurse reply?

1. The vitamins and minerals in formula are more bioavailable to the infant. 2. There is no cholesterol in breast milk. 3. The only carbohydrate in breast milk is lactose. 4. The ratio of whey to casein proteins in breast milk changes to meet the nutritional needs of the growing infant.

Nursing