What is the nurse's first action when planning to teach the parents of an infant with a congenital heart defect (CHD)?

The correct answer is choice c. Verbalizing the importance of monitoring for medication side effects.

Choice A rationale:

Relieving constipation is not typically a priority for patients with Graves’ disease, as constipation is not a common symptom of this condition.

Choice B rationale:

While involving adolescents in their care decisions is important, allowing them to decide whether or not to take medication is not appropriate. Adherence to medication is crucial for managing Graves’ disease.

Choice C rationale:

Verbalizing the importance of monitoring for medication side effects is essential. Graves’ disease treatment often involves medications that can have significant side effects, and monitoring these is critical for effective management and patient safety.

Choice D rationale:

Developing alternative educational goals is not directly related to the immediate management of Graves’ disease. While educational support is important, it is not the primary nursing goal in this context.

Choice A rationale:

Breastfeeding mothers can receive the live attenuated rubella virus. Rubella vaccination is part of routine postpartum care for non-immune women. Breastfeeding does not interfere with the effectiveness of the rubella vaccine.

Choice B rationale:

Rubella vaccination is indeed teratogenic and can cause congenital rubella syndrome if a woman becomes pregnant within 28 days of vaccination. It is crucial for healthcare providers to educate women about the importance of avoiding pregnancy for this period after receiving the rubella vaccine to prevent potential harm to the fetus.

Choice C rationale:

Rh immune globulin (RhIg) is given to Rh-negative mothers to prevent Rh isoimmunization. It is administered intramuscularly, not intravenously. Intravenous administration of RhIg can lead to adverse reactions and is not considered a safe route for this medication. RhIg does not have any impact on the infant's immune system.

Choice D rationale:

Rh immune globulin does not boost the immune system or enhance the effectiveness of vaccinations. Its primary function is to prevent the development of antibodies in Rh-negative individuals who have been exposed to Rh-positive blood, such as during pregnancy or delivery.