A client at 9 weeks gestation tells the nurse that while she has cut down, she still has at least one alcoholic drink every evening before bedtime. Which intervention should the nurse implement?
Notify child protective services of the client’s illicit drug use and probable child endangerment.
Praise the client for her actions and offer to discuss ways to decrease consumption even more.
Refer the client to an outpatient alcohol abuse program for disulfiram therapy.
Insist that the client stop all alcohol use and draw a blood alcohol level at each prenatal visit.
The Correct Answer is B
Choice A rationale
Notifying child protective services without further assessment may cause unnecessary distress and legal complications. The client's current alcohol use reduction efforts should be considered, and other interventions can be explored first.
Choice B rationale
Praising the client for reducing alcohol intake encourages positive behavior. Providing support and discussing ways to further decrease consumption promotes a collaborative approach to reducing alcohol exposure during pregnancy.
Choice C rationale
Disulfiram therapy is not suitable for pregnant clients due to potential risks. Instead, referral to an outpatient alcohol abuse program for counseling and support is more appropriate and safer for both mother and fetus.
Choice D rationale
Insisting on complete alcohol cessation without providing support may result in non-compliance. Drawing blood alcohol levels at each visit may cause anxiety and is not a practical approach for monitoring alcohol use in pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Yogurt is not a significant source of folic acid, providing minimal contribution to the daily requirement needed during pregnancy.
Choice B rationale
Whole milk is not a substantial source of folic acid, contributing little to meeting the daily folic acid requirement for pregnant women.
Choice C rationale
Collard greens are rich in folic acid, but the client's dislike for green leafy vegetables makes them unsuitable in this context.
Choice D rationale
Strawberries are a good source of folic acid and can help meet the recommended daily intake for folic acid in pregnant women.
Correct Answer is ["36"]
Explanation
Step 1 is: Convert 10 units to milliunits: 10 units × 1,000 milliunits/unit = 10,000 milliunits.
Step 2 is: Calculate the infusion rate: (6 milliunits/min ÷ 10,000 milliunits) × 1,000 mL = 0.6 mL/min.
Step 3 is: Convert the infusion rate to mL/hour: 0.6 mL/min × 60 min/hour = 36 mL/hour. Final calculated answer: 36 mL/hour.
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