QUESTION: "A 26-year-old primigravida visiting the prenatal clinic for her regular visit at 34 weeks' gestation tells the nurse that she takes mineral oil for occasional constipation. The nurse should instruct the client to do which of the following?"
CHOICES
( X ) a.) Take the mineral oil with fruit juice to increase the action of the mineral oil.
( O ) b.) Avoid mineral oil because it interferes with the absorption of fat-soluble vitamins.
( X ) c.) Avoid mineral oil because it can lead to vitamin C deficiency in pregnant clients.
( X ) d.) Use the mineral oil regularly on a weekly basis to prevent constipation.
RATIONALE: Mineral oil should be avoided during pregnancy because it interferes with absorption of the fat-soluble vitamins A, D, E, and K from the intestinal tract. Dietary measures and increased fluid intake are better choices to prevent constipation. If necessary, a stool softener or mild laxative may be prescribed. Mineral oil should be avoided during pregnancy because it interferes with absorption of the fat-soluble vitamins A, D, E, and K from the intestinal tract. It is also considered a harsh laxative, contraindicated for use during pregnancy. Use of fruit juice is recommended for the client receiving iron supplementation to enhance its absorption. Mineral oil does not lead to vitamin C deficiency in pregnant clients. Mineral oil use is contraindicated during pregnancy and therefore should not be used. Increased fluids, fiber, and exercise are better choices to suggest for relief of constipation. NURSING PROCESS STEP: Implementation CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Reduction of risk potential
