A patient who has a serious chronic disorder (epilepsy) has been taking a drug to control it that has a moderate likelihood of increasing the risk for birth defects or fetal damage. She tells you that she would like to have a child
What is your best response?
a. Tell her that taking any drug during pregnancy is not recommended.
b. Suggest that she use a reliable method of contraception and consider adoption.
c. Warn her that her condition will get worse if she stops taking the prescribed drug.
d. Counsel her to discuss her wishes with her health care provider to evaluate her specific risks and possible pregnancy outcomes.
ANS: D
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A community health nurse is educating a group of adolescent clients regarding the prevention of date violence and rape. Which statement will the nurse include in teaching?
A) "Caucasian girls report dating violence more commonly than Hispanic or African American girls." B) "Girls who report dating violence are less likely to report other at-risk behaviors, such as using illegal substances." C) "Although previous violence in a teenage male is a problem, it is not associated with an increased risk of dating violence." D) "A decreased use of birth control is associated with an increased risk of dating violence and rape."
A 25-year-old patient with sickle cell disease says, "My sister is having a baby. I can't wait until I have kids of my own." Which nursing response is indicated?
1. "You should use barrier protection until you are ready to have a child." 2. "Have you thought about adopting children?" 3. "Genetic counseling will be important for you and your partner." 4. "I hope that infertility does not cause problems for you."
A patient diagnosed with bulimia nervosa has not responded to psychotherapeutic management. The health care provider is likely to prescribe a drug from which classification?
a. Mood stabilizer b. Selective serotonin reuptake inhibitor (SSRI) antidepressant c. Typical antipsychotic d. Monoamine oxidase inhibitor antidepressant
Transnasal, or nasogastric (NG), feeding would be most appropriate for which client?
A) A middle-aged man with a functional gastrointestinal (GI) tract, poor appetite, and thermal injuries B) An elderly comatose woman who has had a stroke C) An elderly woman with Alzheimer disease who is confused and agitated D) An alcoholic with severe acute pancreatitis