A nurse is reinforcing dietary teaching with a client who is at 12 weeks of gestation. Which of the following statements should the nurse make?

"Eat 40 milligrams of protein-rich foods per day."

"Increase your dietary intake by 500 calories per day."

"Consume 600 micrograms of folic acid per day."

"Limit your caffeine intake to 700 milligrams per day."

Answer and Explanation

The Correct Answer is C

A. "Eat 40 milligrams of protein-rich foods per day.": Protein intake is important during pregnancy, but 40 milligrams is an unusually low amount. The recommended amount is generally higher, around 71 grams of protein per day during pregnancy.

B. "Increase your dietary intake by 500 calories per day.": The general recommendation for calorie increase during pregnancy is about 300 calories per day, not 500. 500 calories per day may be recommended in specific situations, but it is not the typical guideline.

C. "Consume 600 micrograms of folic acid per day.": This is the correct recommendation. The CDC and other health guidelines recommend that pregnant individuals consume 400-600 micrograms of folic acid daily to prevent neural tube defects.

D. "Limit your caffeine intake to 700 milligrams per day.": Caffeine intake should generally be limited to around 200-300 milligrams per day during pregnancy, not 700 milligrams, as high caffeine intake can have adverse effects on pregnancy outcomes.

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Correct Answer is A

Explanation

A. Docusate is correct. Docusate is a stool softener, and it does not have a significant effect on blood clotting. Therefore, it is considered safe for use with warfarin, which requires careful monitoring to avoid interactions that may increase bleeding risks.

B. Ibuprofen is incorrect. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID. that can increase the risk of bleeding when used with warfarin by inhibiting platelet aggregation and affecting clotting factors.

C. Aspirin is incorrect. Aspirin also inhibits platelet function, increasing the risk of bleeding when combined with warfarin. This combination should be avoided unless specifically prescribed.

D. Omeprazole is incorrect. Although omeprazole is often used to treat gastrointestinal issues, it may interact with warfarin and affect its metabolism. This interaction can increase the risk of bleeding, and caution is recommended when using these medications together.

A. Wipe any excess medication from the inner canthus outward B. Instruct guardian to apply erythromycin ophthalmic ointment every morning for 14 days. C. Gently massage the eyelid to facilitate absorption of the medication. D. Place an occlusive dressing on the affected eye to prevent the spread of infection.

Correct Answer is A

Explanation

A. Wipe any excess medication from the inner canthus outward: This is the correct approach. When administering ophthalmic ointment, the nurse should wipe away any excess from the inner canthus to the outer canthus to prevent contamination of the unaffected eye and to avoid spreading the infection.

B. Instruct guardian to apply erythromycin ophthalmic ointment every morning for 14 days.: This is incorrect because the child has been prescribed bacitracin ophthalmic ointment, not erythromycin. The nurse should instruct the guardian to use the prescribed medication as directed.

C. Gently massage the eyelid to facilitate absorption of the medication.: Massaging the eyelid is unnecessary and could lead to irritation or injury. The medication should be allowed to be absorbed naturally without additional manipulation.

D. Place an occlusive dressing on the affected eye to prevent the spread of infection.: An occlusive dressing is not recommended as it may cause increased irritation or pressure on the eye. The best practice is to maintain proper hygiene and follow the prescribed medication regimen.

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A nurse is reinforcing dietary teaching with a client who is at 12 weeks of gestation. Which of the following statements should the nurse make?

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