A nurse is teaching the guardian of a newborn about car seat safety. Which of the following statements by the guardian indicates an understanding of the teaching?

Answer: A

Rationale: A) "Empty your ostomy pouch when it is half full.": This instruction is essential to prevent the pouch from becoming too heavy, which can cause leakage or discomfort. Regular emptying also helps maintain the integrity of the pouching system and prevents leaks.

B) "Notify the provider if your stoma becomes pink and moist.": While it's crucial to monitor the stoma's appearance for signs of complications, a pink and moist stoma typically indicates healthy tissue. This instruction may cause unnecessary concern for the client.

C) "Use a moisturizing soap to cleanse your stoma.": Moisturizing soap is not recommended for stoma cleansing, as it may leave a residue that interferes with the pouch's adhesion and can lead to skin irritation. Instead, the client should use warm water and a mild, non-moisturizing soap.

D) "Apply sterile gloves when changing your ostomy pouch.": While hand hygiene is essential when managing an ostomy, sterile gloves are not necessary for routine pouch changes. Clean, non-sterile gloves or thorough handwashing with soap and water are sufficient to prevent infection.

A. Iron: Iron supplements are not typically contraindicated with spironolactone use. Spironolactone is a potassium-sparing diuretic and may lead to hyperkalemia, but iron supplements are not directly associated with this risk.
B. Calcium: Calcium supplements are not typically contraindicated with spironolactone use. However, calcium supplements should be taken separately from spironolactone to avoid potential interactions that may reduce the absorption of both medications.
C. Magnesium: Magnesium supplements are not typically contraindicated with spironolactone use. However, magnesium-containing antacids should be used with caution due to the potential for increased magnesium levels in the body, especially in individuals with impaired renal function.
D. Potassium: Spironolactone is a potassium-sparing diuretic, meaning it helps retain potassium in the body. Concurrent use of potassium supplements or foods high in potassium can lead to hyperkalemia when combined with spironolactone. Therefore, the client should avoid potassium supplements while taking spironolactone to prevent this risk.