A nurse is collecting data from a client who is at 12 weeks of gestation. The client states, "We've been trying to get pregnant for several months. but now I'm not sure I'm ready." Which of the following responses should the nurse make?

A. The nurse opened the package of gauze toward their body: Opening a sterile package toward the body increases the risk of contaminating the contents. Sterile materials should always be opened away from the nurse to maintain sterility.

B. The nurse kept their hands above the waist during the dressing change: Keeping hands above the waist helps maintain the integrity of the sterile field. Anything below waist level is considered contaminated, so this action demonstrates proper sterile technique.

C. The nurse handled the sterile gauze with clean gloves on: Sterile gloves, not clean gloves, are required to handle sterile materials. Using clean gloves could introduce microorganisms and compromise sterility.

D. The nurse placed a bottle of saline on the sterile field: Only items that are sterile should be placed on the sterile field. Placing a non-sterile bottle of saline directly on the field can cause contamination.

A. Cimetidine: Cimetidine is an H2-receptor antagonist used for gastric acid reduction. It does not significantly increase the risk of bleeding when taken with enoxaparin and is generally considered safe for concurrent use.

B. Docusate: Docusate is a stool softener and does not affect coagulation. It is safe to use with enoxaparin and can help prevent constipation associated with reduced mobility or opioid use.

C. Calcium supplement: Calcium supplements do not impact anticoagulation or platelet function. They are safe to take with enoxaparin and do not increase bleeding risk.

D. Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that inhibits platelet function and can increase the risk of bleeding when taken with enoxaparin. Clients should avoid NSAIDs unless approved by the provider and use alternative pain management strategies.