The nurse is teaching a pregnant client how to decrease the gastrointestinal distress she experiences with prenatal vitamins. Which instruction would the nurse provide?

Correct Answer: B

Rationale: The correct answer is B: Eat when she takes her vitamins. This is because taking prenatal vitamins on an empty stomach can lead to gastrointestinal distress. Eating food along with the vitamins can help reduce the chances of nausea and other digestive issues. Choice A is incorrect as taking vitamins between meals may worsen gastrointestinal distress. Choice C, drinking orange juice, is incorrect as the acidity of the juice may exacerbate the stomach issues. Choice D, drinking milk, is also incorrect as dairy products can sometimes aggravate gastrointestinal problems. Eating a small snack or meal when taking prenatal vitamins is the most effective way to reduce discomfort.

Correct Answer: B

Rationale: The correct answer is B: Have naloxone available. Butorphanol is an opioid agonist-antagonist that can cause respiratory depression in the mother and baby. Naloxone is an opioid antagonist used to reverse opioid effects, such as respiratory depression. Having naloxone available is crucial in case the client experiences respiratory depression post-delivery due to the butorphanol administration. Administering butorphanol subcutaneously (A) is not recommended as the client has already received it intravenously. Administering intravenous fluid bolus (C) may not directly address the potential respiratory depression caused by butorphanol. Placing oxygen 10 L by nasal cannula (D) may help with oxygenation but does not directly address the opioid effects of butorphanol.

Correct Answer: B

Rationale: The correct answer is B: "The drug will neutralize the contents in my stomach." Rationale: 1. Citric acid/sodium citrate is an antacid that helps neutralize stomach acid. 2. Before surgery, neutralizing stomach acid can help prevent aspiration during anesthesia. 3. Aspiration of stomach contents can lead to serious complications like pneumonia. 4. Therefore, teaching that the drug will neutralize stomach contents is crucial for the patient's safety. Summary of other choices: A: Citric acid/sodium citrate does not prevent infection after surgery. C: The drug does not affect the need for pain medication post-surgery. D: While the drug may help prevent vomiting, the primary reason for its administration is to neutralize stomach acid.

Correct Answer: B

Rationale: Rationale: Choice B is correct as eye ointments are indeed administered in the lower conjunctival sac from the inner to the outer eye to prevent contamination. This technique ensures that the medication spreads evenly across the eye surface. Choices A, C, and D are incorrect. Choice A is incorrect as not all preterm infants receive ophthalmic drugs. Choice C is incorrect as the drug may not necessarily prevent congenital ophthalmic diseases. Choice D is incorrect as the direct Coombs test is unrelated to the administration of ophthalmic drugs in newborns.

Correct Answer: C

Rationale: The correct answer is C because the patient's T-score of -2.0 indicates osteoporosis, which typically requires treatment with bisphosphonates to prevent further bone loss. Bisphosphonates help to increase bone density and reduce the risk of fractures in patients with osteoporosis. Option A is incorrect as calcium alone may not be sufficient to treat osteoporosis without other medications. Option B is incorrect because while weight-bearing exercises are beneficial for bone health, they are not enough to treat osteoporosis alone. Option D is incorrect as it only includes calcium and vitamin D supplementation, which may not be enough for a patient with osteoporosis.