A nurse is assisting the guardians of a newborn with the transition to parenthood. Which of the following actions should the nurse take?

Promote bonding by encouraging the guardians to formula feed their newborn

Encourage guardians to allow relatives to provide the majority of the care for their newborn.

Ensure guardians know that criticism of newborn care is acceptable.

Inform guardians how to respond to their newborn's cues

Answer and Explanation

The Correct Answer is D

A. Promote bonding by encouraging the guardians to formula feed their newborn: Bonding occurs through close physical contact, responsiveness, and nurturing care, regardless of the feeding method. Bonding is important regardless of feeding method, but feeding choice should be based on the guardians’ preference, not directed solely by the nurse. Formula feeding is not necessary for promoting bonding.

B. Encourage guardians to allow relatives to provide the majority of the care for their newborn: Guardians should be encouraged to provide the majority of the newborn's care themselves to strengthen attachment and build confidence in their parenting abilities.

C. Ensure guardians know that criticism of newborn care is acceptable: Criticism can undermine the guardians' confidence and create stress. Support and positive reinforcement are important for helping new parents feel secure in their roles.

D. Inform guardians how to respond to their newborn's cues: Teaching guardians how to recognize and respond to their newborn's cues, such as hunger, discomfort, or need for interaction, promotes bonding, supports emotional development, and strengthens the parent-newborn relationship.

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Correct Answer is D

Explanation

A. Cantaloupe: Cantaloupe is considered high in potassium, with about 430 mg of potassium per cup. This makes it unsuitable for a client needing a low-potassium diet, as it can significantly contribute to elevated potassium levels.

B. Sweet potato: Sweet potatoes are very high in potassium, containing around 540 mg of potassium per half-cup serving. They are not recommended for individuals trying to manage or lower their potassium intake.

C. Orange juice: Orange juice provides approximately 500 mg of potassium per 1-cup serving. It is commonly avoided or limited in potassium-restricted diets due to its significant contribution to total potassium intake.

D. Wheat bread: Wheat bread contains a relatively low amount of potassium, about 60 to 70 mg per slice. Compared to the other options listed, wheat bread is much lower in potassium and is a better choice for clients who need to restrict potassium in their diet.

A. Vitamin D, B. Ranitidine C. Naproxen D. Docusate sodium

Correct Answer is C

Explanation

A. Vitamin D: Vitamin D is a supplement used to support bone health and calcium regulation. It does not have a known adverse interaction with clopidogrel and does not increase the risk of bleeding when taken concurrently.

B. Ranitidine: Ranitidine is an H2 receptor antagonist used to reduce stomach acid. It has minimal interaction with clopidogrel and does not significantly impact bleeding risk, making it generally safe to use alongside antiplatelet therapy.

C. Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of gastrointestinal bleeding when used with clopidogrel, an antiplatelet agent. Combining these medications heightens the risk of serious bleeding complications and should be avoided without provider guidance.

D. Docusate sodium: Docusate sodium is a stool softener that facilitates easier bowel movements. It does not have a significant interaction with clopidogrel and does not affect bleeding risk, making it generally safe for clients requiring antiplatelet therapy.

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A nurse is assisting the guardians of a newborn with the transition to parenthood. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has an electrolyte imbalance. Which of the following foods should the nurse include as the low in potassium?

Correct Answer is D

Explanation

A nurse is reviewing the home medications of a client who recently had transient ischemic attacks and is to begin taking clopidogrel. The nurse should instruct the client that which of the following over-the-counter medications interacts adversely with clopidogrel?

Correct Answer is C

Explanation

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