A pregnant client asks what kinds of medications cause birth defects. Which statement would best answer this question?
1. "Almost all medications will cause birth defects in the first trimester."
2. "To be safe, do not take any medication without talking to your doctor."
3. "Too much vitamin C is one of the most common issues but is avoidable."
4. "Birth defects are very rare. Do not worry; your healthcare provider will watch for problems."
2
Explanation:
1. Not all medications are teratogenic.
2. Pregnant women need to avoid all medications—prescribed, homeopathic, or over-the-counter—if possible.
3. Vitamin C can cause rebound scurvy but is not teratogenic.
4. The nurse should avoid a "do not worry" answer to ensure therapeutic communication, but it is appropriate to instruct the client to talk to the doctor about medications.
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A client is admitted to the hospital with a diagnosis of heart failure, and the physician orders a BNP level. What results would indicate to the nurse that the client is in moderate heart failure?
A) 120 pg/mL B) 400 pg/mL C) 780 pg/mL D) 980 pg/mL
Which of the following statements would be most important for staff to consider when planning delirium management for a client?
A) Decrease all stimulation in the client's room. B) Ask the family to involve the client in all conversations and interactions. C) Sensory deprivation and overstimulation can worsen symptoms. D) Provide education for family members as needed.
Which client is at greatest risk for having a hemolytic transfusion reaction?
A. 34-year-old client with type O blood B. 42 year-old client with allergies C. 58 year-old immune suppressed client D. 78-year-old client
The nurse is working with a culturally diverse patient population in a clinic. In order to deliver culturally competent care, it is essential for the nurse to:
A. Do a physical examination on each patient. B. Do a cultural assessment on each patient. C. Have "lived experience" with the culture of the patients served. D. Observe each patient for his or her unique behavior.