A nurse is providing teaching to a client who gave birth 8 hr ago and is exclusively breastfeeding. Which of the following information should the nurse include?

"Avoid eating seafood to minimize risk to the newborn.”

“Wait 1 hour to breastfeed after consuming alcohol."

"Consume additional calories each day to support milk production.”

"Caffeine slowly enters breast milk after maternal consumption."

Answer and Explanation

The Correct Answer is C

A. Avoid eating seafood to minimize risk to the newborn: Seafood contains important nutrients like omega-3 fatty acids that support infant brain development; moderate consumption of low-mercury seafood is generally safe and encouraged during breastfeeding.
B. Wait 1 hour to breastfeed after consuming alcohol: Alcohol peaks in breast milk approximately 30 to 60 minutes after consumption; waiting only 1 hour may not be sufficient to prevent infant exposure depending on the amount consumed.
C. Consume additional calories each day to support milk production: Breastfeeding increases a mother’s energy needs by about 450 to 500 calories per day, so additional caloric intake is necessary to maintain adequate milk supply and support maternal health.
D. Caffeine slowly enters breast milk after maternal consumption: Caffeine passes into breast milk relatively quickly, usually within 30 to 60 minutes after ingestion, so it does not enter slowly but rather fairly rapidly after consumption.

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Correct Answer is D

Explanation

A. Critical pathways have an unlimited timeframe for completion: Critical pathways are designed with specific timelines to standardize care and ensure timely achievement of outcomes, so they do not have unlimited timeframes.
B. Nurses should discontinue the critical pathway if variances occur: Variances are documented and addressed, not a reason to discontinue the pathway. They help track deviations and guide individualized care adjustments.
C. Nurses' notes are used to create the critical pathway: Critical pathways are developed from evidence-based guidelines and clinical expertise, not directly from nurses' notes, though documentation helps evaluate their effectiveness.
D. Critical pathways should reduce health care costs: By standardizing care, minimizing delays, and improving efficiency, critical pathways aim to reduce unnecessary interventions and overall health care costs.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

Explanation

Rationale for correct choices:

Opioid intoxication: The client was found unresponsive with a needle in the antecubital space, had pinpoint pupils, and responded to naloxone—all classic signs of opioid overdose. Vital signs showing bradycardia and hypoventilation support CNS depression consistent with opioid toxicity.
Pupil characteristic: Pinpoint pupils (miosis) are a hallmark of opioid intoxication and help distinguish it from other conditions like withdrawal or alcohol-related disorders. This ocular finding, combined with sedation and history of IV drug use, makes it a key diagnostic indicator.

Rationale for incorrect choices:

Alcohol withdrawal: Withdrawal from alcohol typically presents with symptoms like tremors, agitation, anxiety, tachycardia, and possibly seizures or hallucinations—not pinpoint pupils or decreased responsiveness. The client does not show these signs.
Opioid withdrawal: The previous hospitalization showed opioid withdrawal symptoms at 1000 (mydriasis, hyperreflexia, diaphoresis, piloerection) after receiving buprenorphine/naloxone. The current symptoms are not consistent with withdrawal.Today’s sedation and miosis indicate overdose, not withdrawal.
Alcohol intoxication|: While alcohol intoxication can cause sedation and decreased coordination, it does not cause miosis. The ingestion of one beer, as reported, would not account for unconsciousness and respiratory depression, and naloxone would not reverse alcohol effects.
Current temperature: The client’s temperature is within normal range and not specific to any of the listed conditions. It offers no diagnostic value in distinguishing between opioid use, withdrawal, or alcohol-related issues.
Amount of alcohol consumed: The report of one beer is not enough to support alcohol intoxication, especially with the severity of the symptoms. The more pressing concern is the needle mark and opioid-related signs.
Breath sounds: Breath sounds are clear and equal, which does not support or oppose any of the listed conditions. While important in ruling out aspiration or pulmonary issues, they do not guide the diagnosis here.

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A nurse is providing teaching to a client who gave birth 8 hr ago and is exclusively breastfeeding. Which of the following information should the nurse include?

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Naxlex Comprehensive Predictor Exams

A nurse manager is planning to teach staff about critical pathways. Which of the following information should the nurse plan to include?

Correct Answer is D

Explanation

A nurse is caring for a client in the emergency department. Exhibits Complete the following sentence by using the lists of options. The client is likely experiencing dropdownas evidenced bydropdown.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

Explanation

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