A nurse is reviewing the list of medications for a client who has a new prescription for fluoxetine. The nurse should identify that which of the following medications is contraindicated with fluoxetine?

A. "I will make sure that my baby has at least six wet diapers a day.": After the first week of life, at least six wet diapers per day indicates adequate hydration and sufficient breast milk intake. Urine output is a reliable indicator of effective breastfeeding and appropriate milk transfer. Monitoring diaper count helps assess nutritional adequacy.

B. "I can reuse any breast milk my baby does not drink for the next feeding.": Once a baby has fed from a bottle, bacteria from the infant’s mouth can contaminate the remaining milk. Reusing leftover milk increases the risk of bacterial growth and infection. Expressed breast milk that has been partially consumed should be discarded.

C. "I will feed my baby each time he cries.": Crying is a late sign of hunger. Early hunger cues include rooting, sucking motions, and hand-to-mouth movements. Waiting until the infant cries may make latching more difficult and interfere with effective feeding.

D. "I can give my baby water following each feeding.": Exclusively breastfed infants do not require supplemental water. Breast milk provides adequate hydration, even in warm climates. Giving water can interfere with feeding patterns and may lead to inadequate caloric intake or electrolyte imbalance.

A. Inform visitors to remain at least 3 feet away from the client: Maintaining a 3-foot distance is part of droplet precautions, not contact precautions. Contact precautions focus on preventing the spread of infections transmitted by direct or indirect contact, so spatial distancing is not the primary intervention.

B. Apply sterile gloves when entering the client's room: Sterile gloves are not required for routine care under contact precautions. Clean (non-sterile) gloves are appropriate to prevent transmission of pathogens when touching the client or contaminated surfaces. Sterile gloves are reserved for invasive procedures.

C. Leave all equipment that is used routinely in the client's room: Equipment such as stethoscopes, blood pressure cuffs, or thermometers should remain in the room to prevent cross-contamination. Dedicated or disposable equipment helps reduce the spread of infectious agents to other clients, which is a key component of contact isolation.

D. Place the client in a negative-pressure airflow room: Negative-pressure rooms are required for airborne precautions to prevent aerosolized pathogens from leaving the room. Contact isolation does not require negative-pressure airflow, as the primary transmission route is via direct or indirect contact, not airborne particles.