A nurse is teaching a client who is in her first trimester of pregnancy about over-the-counter medications that are a pregnancy risk category B. Which of the following medications should the nurse include?

Choice A reason: Adopting a neutral attitude when providing care is essential for building trust with a client who is suspicious. A neutral attitude helps the nurse remain professional and non-threatening, which can make the client feel safer and more comfortable. This approach avoids overwhelming the client with excessive friendliness or personal disclosure, which might increase their suspicion.

Choice B reason: Waiting for the client to initiate interaction is not the best approach. Clients who are suspicious may not feel comfortable initiating interactions, and this could lead to a lack of communication and trust. The nurse should take the initiative to engage with the client in a calm and respectful manner.

Choice C reason: Disclosing some personal information to the client to demonstrate approachability can be counterproductive with a suspicious client. Sharing personal information might be perceived as intrusive or manipulative, which could increase the client’s distrust. Maintaining professional boundaries is crucial.

Choice D reason: Approaching the client frequently throughout the day for brief interactions might overwhelm a suspicious client. While regular interactions are important, they should be balanced and not too frequent to avoid making the client feel pressured or monitored.

Step 1: Convert the client’s weight from pounds to kilograms. 198 lb ÷ 2.2 = 90 kg

Result: 90 kg

Step 2: Calculate the total daily dose of vancomycin. 15 mg × 90 kg = 1350 mg/day

Result: 1350 mg/day

Step 3: Divide the total daily dose by 2 to get the dose per administration (since it is given every 12 hours). 1350 mg/day ÷ 2 = 675 mg

Result: 675 mg

Final Answer: The nurse should administer 675 mg of vancomycin with each dose.