A nurse is teaching a client about dietary recommendations while breastfeeding. Which of the following client statements should the nurse identify as an indication of understanding the teaching?
"I can have up to three glasses of wine per day while breastfeeding."
"I need to drink a glass of fluid each time I nurse and with all meals."
"I should avoid all seafood while I am breastfeeding."
"I need to eat a bland diet while breastfeeding, as babies often react to spicy food."
The Correct Answer is B
Rationale:
A. "I can have up to three glasses of wine per day while breastfeeding.": Alcohol passes into breast milk and can affect the infant’s neurologic development and feeding patterns. Regular alcohol intake should be avoided.
B. "I need to drink a glass of fluid each time I nurse and with all meals.": Adequate hydration supports optimal milk production during breastfeeding. Increasing fluid intake each time the mother nurses or eats helps replace fluids lost through lactation and prevents dehydration.
C. "I should avoid all seafood while I am breastfeeding.": Seafood provides essential omega-3 fatty acids that support the infant’s brain and eye development. The mother should only avoid high-mercury fish such as swordfish and king mackerel.
D. "I need to eat a bland diet while breastfeeding, as babies often react to spicy food.": Most infants tolerate varied maternal diets, including spicy foods, without adverse effects. Restricting flavors unnecessarily limits the mother’s nutrition and is not required.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. "Placement of the catheter is confirmed by a CT scan.": Catheter placement is not routinely confirmed by CT scan. Instead, correct placement of a central venous catheter is verified by a chest X-ray immediately after insertion to ensure proper tip location.
B. "You will be under general anesthesia for this procedure.": General anesthesia is not required for placement of a nontunneled percutaneous central venous catheter. The procedure is typically performed using local anesthesia and aseptic technique at the bedside.
C. "The provider will wear a mask while performing the procedure.": The provider wears a mask, sterile gown, gloves, and cap as part of strict sterile technique during insertion to prevent catheter-related bloodstream infections.
D. "Your head will be elevated as high as possible while the catheter is inserted.": The client’s head is not elevated during insertion. Instead, a flat or slight Trendelenburg position is used to distend neck veins and reduce the risk of air embolism.
Correct Answer is ["A","C"]
Explanation
Rationale:
A. Wear a gown when providing care: A gown should always be worn when caring for a client with C. difficile to prevent contamination of the nurse’s clothing with infectious spores. This is part of contact precautions, which are essential to stop transmission via direct or indirect contact.
B. Wash hands with an alcohol-based cleaner: Alcohol-based sanitizers are ineffective against C. difficile spores. Handwashing with soap and water is required after client contact because mechanical friction is needed to remove spores from the skin.
C. Change gloves after contact with infectious material: Gloves must be changed immediately after contact with contaminated surfaces or body fluids to prevent cross-contamination.
D. Wear an N95 respirator when providing care: An N95 respirator is unnecessary for clients with C. difficile because the infection is transmitted by contact, not airborne routes. Standard and contact precautions are sufficient for infection control.
E. Remove the thermometer from the client's room for use on another client: Equipment used for a client with C. difficile should remain dedicated to that client. Sharing devices like thermometers risks spreading spores to other clients, so disposable or patient-specific equipment must be used.
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