The nurse is caring for a female patient who is nursing her ...

[NClaborn]

The nurse is caring for a female patient who is nursing her 3-month-old infant. What will the nurse instruct the patient to do prior to starting heparin to treat venous thrombosis?
 
  A) Wait an hour after taking the anticoagulant before feeding the infant.
  B) Push fluids to clear the drug from her system before feeding the infant.
  C) Find another method of feeding the infant while taking this drug.
  D) Continue breast-feeding because heparin does not enter breast milk.

Question 2

The nurse at the pediatric clinic gives the mother of an infant a written record of the infant's immune sera use. The nurse encourages the mother to keep the information. What is the rationale behind keeping a written record of immune sera use?
 
  A) To keep track of where the immune sera was given
  B) To identify who gave the immune sera
  C) To avoid future reactions
  D) To identify the lot number of the immune sera used

[medine]

Answer to Question 1

D
Feedback:
Although some adverse fetal effects have been reported with its use during pregnancy, heparin does not enter breast milk, and so it is the anticoagulant of choice if one is needed during lactation. As a result, there is no need to wait an hour, push fluids, or find another method of feeding the baby.

Answer to Question 2

C
Feedback:
Provide a written record of immune sera use and encourage the patient or family to store that information safely to ensure proper medical treatment and to avert future reactions. Written records are not kept to keep track of where the immune sera was given or to identify who gave the immune sera or to identify the lot number of the immune sera used as this information will have no value in the future.