In which of the following conditions is breastfeeding contraindicated?
a. Triplet birth
b. Flat or inverted nipples
c. Inactive, previously treated tuberculosis
d. Human immunodeficiency virus
D
Because the amount of milk being produced depends on the amount of suckling of the breasts, providing enough milk should not be a problem. Nipple abnormality can begin to be treated during pregnancy but may begin after birth. Many methods help flat or inverted nipples to become more erect. Only active tuberculosis patients would be cautioned not to breastfeed. Human immunodeficiency virus is a serious illness that can be transmitted to the infant via body fluids.
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A 9-year-old child hospitalized for neutropenia is placed in protective isolation. What is the most appropriate response for the nurse to make when the child asks, "Why do you have to wear a gown and mask when you are in my room?"
a. "Nurses and doctors wear gowns and masks because you have a condition that could be spread to others." b. "The gown and mask are to protect you because you could get an infection very easily." c. "I'm wearing this because there are a lot of bacteria in the hospital." d. "I might look scary but you won't need this after you have had medication for 24 hours."
The nurse cares for four clients with cystitis. Which client represents a complicated cystitis case?
A) Middle-age adult female who has hypertension. B) Young adult female who is pregnant. C) Older adult female who has impaired mobility. D) Older adult female who lives in a skilled nursing facility.
Which laboratory blood test result for a patient taking trimethoprim/sulfamethoxazole (Septra) does the nurse report immediately to the prescriber?
a. Red blood cells (RBCs) 2.2 million/mm3 b. International normalized ratio (INR) 1.6 c. White blood cells (WBCs) 6,000/mm3 d. Sodium 134 mEq/L
A client experiencing nervousness asks the nurse why escitalopram was prescribed. Which response should the nurse provide the client?
A. "The same brain chemicals are involved with anxiety and depression." B. "You are really depressed; it is just manifested as anxiety. These medications are safer than benzodiazepines." C. "Your doctor thinks that this is the best treatment for your anxiety, and these medications are safer than benzodiazepines." D. "The two disorders are similar, and if you treat depression, the anxiety goes away."