A client who is at 10-weeks gestation calls the clinic because she has been vomiting for the past 24 hours. The nurse determines that the client has no fever.

What instruction should the nurse give to this client?

Remain on clear liquids until the vomiting subsides.

Take nothing by mouth until there is no more nausea.

Come to the clinic to be seen by a healthcare provider.

Make an appointment at the clinic if a fever occurs.

Answer and Explanation

The Correct Answer is C

Choice A rationale

While remaining on clear liquids until the vomiting subsides may seem like a reasonable approach, it may not be the best course of action for a pregnant woman who has been vomiting for 24 hours. This is because prolonged vomiting can lead to dehydration and electrolyte imbalances, which can be harmful to both the mother and the fetus.

Choice B rationale

Taking nothing by mouth until there is no more nausea is not advisable in this situation. Nausea can persist even after vomiting has stopped, and it’s important for the woman to stay hydrated and nourished.

Choice C rationale

The best course of action in this situation is for the woman to come to the clinic to be seen by a healthcare provider. This is because prolonged vomiting can lead to dehydration and electrolyte imbalances, which can be harmful to both the mother and the fetus. In addition, the healthcare provider can assess the woman’s condition and provide appropriate treatment.

Choice D rationale

Making an appointment at the clinic if a fever occurs is not the best advice in this situation. While it’s important to seek medical attention if a fever develops, the woman should not wait for this to happen before seeking help. Prolonged vomiting can lead to dehydration and electrolyte imbalances, which can be harmful to both the mother and the fetus, and should be addressed promptly.

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Correct Answer is B

Explanation

Choice B rationale

When changing a newborn’s diaper, it is recommended to use clear water for cleaning. This is because newborns have sensitive skin, and clear water is gentle and unlikely to cause irritation.

Choice A rationale

Corn starch powder is not typically recommended for use in diaper changes. While it can help absorb moisture, it can also create a paste with the stool that is difficult to clean and can potentially cause skin irritation.

Choice C rationale

Talcum powder is not recommended for use in diaper changes. It can cause respiratory problems if inhaled by the baby.

Choice D rationale

While baby lotion can be used to moisturize a baby’s skin, it is not typically used during diaper changes. It does not have the same cleaning properties as water and can leave a residue on the skin.

A. Episodes of headache and irritability. B. Persistent daytime fatigue. C. Nausea and vomiting. D. Rapid increase in abdominal girth.

Correct Answer is D

Explanation

Choice A rationale

While episodes of headache and irritability can occur as side effects of metformin and menotropins, they are not typically severe enough to warrant immediate reporting.

Choice B rationale

Persistent daytime fatigue can be a side effect of these medications, but it is also a common symptom in pregnancy and is not typically a cause for immediate concern.

Choice C rationale

Nausea and vomiting can occur as side effects of these medications. However, they are common side effects and are not typically a cause for immediate concern unless they are severe or persistent.

Choice D rationale

A rapid increase in abdominal girth can be a sign of ovarian hyperstimulation syndrome, a rare but potentially serious side effect of fertility treatments. This condition can cause rapid weight gain, abdominal pain, and bloating, and should be reported immediately.

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A client who is at 10-weeks gestation calls the clinic because she has been vomiting for the past 24 hours. The nurse determines that the client has no fever.What instruction should the nurse give to this client?

Nursing Test Bank

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A client who is at 10-weeks gestation calls the clinic because she has been vomiting for the past 24 hours. The nurse determines that the client has no fever.

What instruction should the nurse give to this client?