A nurse is instructing a client about food safety during pregnancy. Which of the following information should the nurse include?

Rationale:
A. Reassure the client that their injuries are not life threatening: While reassurance may seem supportive, minimizing the client’s experience or focusing on injury severity too early may invalidate their emotional trauma and hinder trust-building.

B. Limit the number of staff members providing care for the client: Limiting staff exposure promotes a sense of safety and control for the client, who may feel vulnerable and traumatized. Consistency in caregivers helps reduce anxiety and supports trauma-informed care principles by minimizing re-traumatization and promoting trust.

C. Ask the client for details about the assault: The nurse should not probe for specific details because repeated questioning can intensify trauma and emotional distress. Instead, the nurse should allow the client to share voluntarily when ready and defer detailed questioning to a trained sexual assault nurse examiner (SANE).

D. Instruct the client to shower and change their clothes: The client should not bathe, change, or wash clothing before evidence collection. The nurse should explain the importance of preserving evidence and provide clean clothing after the forensic examination is complete.

Rationale:
A. "Avoid consuming grapefruit juice while taking this medication.": Grapefruit juice inhibits the cytochrome P450 enzyme system in the liver, leading to increased serum levels of nifedipine. This can potentiate adverse effects such as hypotension, dizziness, and tachycardia.

B. "Your magnesium level will be monitored while taking this medication.": Nifedipine, a calcium channel blocker, does not significantly affect magnesium levels. Monitoring magnesium is more relevant for clients receiving magnesium sulfate.

C. "This medication can cause changes in thyroid function.": Nifedipine has no known effects on thyroid hormones or gland function. Drugs affecting thyroid function include amiodarone or lithium, not calcium channel blockers like nifedipine.

D. "This medication can cause an increase in blood glucose levels.": Nifedipine does not alter glucose metabolism. Medications such as corticosteroids and thiazide diuretics are more likely to cause hyperglycemia, whereas nifedipine’s primary effects involve smooth muscle relaxation and vasodilation.