A nurse is caring for a client who is pregnant.

Exhibits

The nurse is reviewing the client's medical record.
Select 4 findings that indicate a potential prenatal complication.

Rationale:
A. "Did you tell your provider that your family doesn't agree with your decision?": While it’s appropriate for the provider to be aware of family concerns, this response diverts focus away from the client’s feelings and does not promote open communication. The nurse should first explore the client’s emotions and perspective before suggesting further discussion.

B. "You are making the same decision I would make.": This statement introduces the nurse’s personal opinion, which is nontherapeutic and shifts focus away from the client. It does not encourage expression of the client’s own values, beliefs, or reasoning behind her decision.

C. "You should get your family to agree with your decision before signing the consent.": The client’s consent is based on her own autonomy, not family approval. Suggesting she must gain their agreement undermines her right to make independent healthcare decisions.

D. "Your family disagrees with your decision?": This therapeutic, open-ended response encourages the client to share more about her family’s feelings and her own emotional experience. It demonstrates active listening, fosters trust, and allows the nurse to better understand and support the client’s perspective.

Rationale:
A. "I will remove gluten from my diet.": Gluten is not associated with latex cross-reactivity. Gluten sensitivity is related to celiac disease, which involves an immune response to wheat proteins, not latex allergens.

B. "I will remove peanuts from my diet.": Peanuts are not part of the common cross-reactive foods for latex allergy. While peanuts are a frequent cause of food allergies, they do not share similar protein structures with latex that trigger cross-sensitivity reactions.

C. "I will remove bananas from my diet.": Bananas share similar protein allergens with natural rubber latex, which can trigger cross-reactive allergic responses. Individuals with latex allergy often react to foods such as bananas, avocados, kiwis, and chestnuts, making avoidance of these foods advisable.

D. "I will remove dairy products from my diet.": Dairy products do not have protein structures similar to those found in latex and are not linked to latex-related cross-reactivity. Removing them from the diet provides no benefit in managing latex allergies.