The nurse preparing a teaching plan for an adolescent postpartum mother includes which topics?
1. Most medications are secreted into breast milk.
2. The new mother's insulin will not be secreted into her breast milk.
3. Over-the-counter (OTC) drugs and herbal products are secreted into breast milk and have the potential to cause harm to the infant.
4. Topical medications must be avoided as these also are secreted into breast milk.
5. Most drugs are safe to take right after breastfeeding because they have not reached the blood stream yet.
Correct Answer: 1,2,3
Rationale 1: The majority of drugs are secreted into breast milk.
Rationale 2: Insulin molecules are too large to be secreted into breast milk.
Rationale 3: OTC drugs and herbal products can be secreted into breast milk and have the potential to harm the infant. All products should be approved by the provider prior to use.
Rationale 4: Topical medications are not secreted into breast milk and are safe to use during breastfeeding. Topical medications could be ingested by the infant if applied to the nipple or breast.
Rationale 5: Drugs should only be taken during breastfeeding if the benefits to the mother outweigh the risks to the infant.
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The nurse administers a drug and miscalculates the dose by placing the decimal place one space to the right, resulting in a 10-fold overdose and the death of the patient. What offense does this represent?
a. Malfeasance b. Malpractice c. Misfeasance d. Nonfeasance
The labor and delivery nurse is reviewing charts. The nurse should inform the supervisor about which client?
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Leave the patient alone. Greet the patient and gently touch the patient's shoulder. Make good eye contact and sit next to the patient. Do necessary work and leave without speaking. Ask the patient about any concerns and listen to complaints patiently.