The perinatal nurse knows that breastfeeding is contraindicated if a mother has which of the following conditions? (Select all that apply.)
A.
Active herpes lesion on her nipple
B.
Active tuberculosis
C.
Infant diagnosed with phenylketonuria
D.
Small breasts
E.
Taking venlafaxine (Effexor) for anxiety.
ANS: A, B
There are only a few situations in which breastfeeding is contraindicated: infants with galactosemia (due to an inability to digest the lactose in the milk), mothers with active tuberculosis or HIV infection, mothers with active herpes lesions on the nipples, mothers who are receiving certain medications such as lithium or methotrexate, and mothers who are exposed to radioactive isotopes (e.g., during diagnostic testing).
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HIPAA (Health Information Portability and Accountability Act) requires that: (Select all that apply.)
a. healthcare records be available electronically by 2014. b. healthcare providers keep an audit trail of access to an individual's record and provide copies of the individual's record upon request. c. specific privacy and security measures must be used in all electronic health records. d. healthcare providers must be able to electronically exchange health records by 2014. e. healthcare providers must be able to electronically exchange lab data by 2014.
On the second week after a boy's complete spinal cord injury, his mother reports to you that she has seen her son move his left leg twice. What is your best response to this?
A) "Don't you believe that your son's spinal injury is complete?" B) "You have observed something very important." C) "That's wonderful. Function must be returning." D) "That's most likely only a reflex. I'm sorry."
A patient tells the nurse that he does not want to get any immunizations. In which of the following ways should the nurse respond to this patient?
1. It is a method to reduce the onset of some infections. 2. I don't like to get injections either. 3. Some of the vaccinations don't really work. 4. You will wish you had gotten the immunization if you get an infection.
The nurse assessing a client for symptoms of chronic obstructive pulmonary disease (COPD) realizes that the earliest manifestation to occur in the course of the disease is:
1. Clubbing of the fingers. 2. Cyanotic nail beds. 3. Dysrhythmias. 4. Cough in the morning producing clear sputum.