A nurse is assessing a client who is at 11 weeks of gestation and reports drinking ginger tea.

Which of the following findings indicates the client's use of ginger tea is effective?

The client reports a decrease in episodes of nausea.

The client reports a decrease in breast tenderness.

The client reports a decrease in headaches.

The client reports a decrease in urinary frequency.

Answer and Explanation

The Correct Answer is A

A is correct because ginger tea is an herbal remedy that has been shown to reduce nausea and vomiting in pregnancy.

B is incorrect because ginger tea does not have any effect on breast tenderness, which is a common symptom of pregnancy caused by hormonal changes.

C is incorrect because ginger tea does not have any effect on headaches, which can be caused by various factors such as dehydration, stress, or caffeine withdrawal in pregnancy.

D is incorrect because ginger tea does not have any effect on urinary frequency, which is a common symptom of pregnancy caused by increased blood volume and pressure on the bladder.

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Correct Answer is C

Explanation

- A. Incorrect. The nurse should assess the client's IV site every hour to prevent infection and phlebitis.

- B. Incorrect. The nurse should check the client's WBC count every day to monitor for signs of infection or bone marrow suppression.

- C. Correct. The nurse should monitor the client's mouth every 8 hr for signs of oral candidiasis, which is a common fungal infection in immunosuppressed clients.\

- D. Incorrect. The nurse should change the client's IV tubing every 24 hr to reduce the risk of bacterial contamination.

A. Clean the mouthpiece with warm water every 2 weeks B. Wait 10 seconds between inhalations C. Take a quick inhalation when pressing the dispenser D. Take the medication 15 min before playing sports

Correct Answer is D

Explanation

Take the medication 15 min before playing sports.

A. Clean the mouthpiece with warm water every 2 weeks. This is incorrect because the mouthpiece should be cleaned with warm water at least once a week, or more often if used frequently, to prevent bacterial growth and contamination.
B. Wait 10 seconds between inhalations. This is incorrect because the recommended time interval between inhalations is 1 minute, not 10 seconds, to allow adequate absorption of the medication and prevent overdose or side effects.
C. Take a quick inhalation when pressing the dispenser. This is incorrect because a quick inhalation can cause poor coordination of hand-mouth movement and result in less medication reaching the lungs. The nurse should instruct the child to take a slow, deep inhalation when pressing the dispenser, hold their breath for 10 seconds, and exhale slowly.
D. Take the medication 15 min before playing sports. This is correct because albuterol is a short-acting bronchodilator that can prevent exercise-induced bronchospasm. The nurse should teach the child to take the medication before engaging in physical activity that can trigger asthma symptoms, such as sports, cold weather, or allergens.

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A nurse is assessing a client who is at 11 weeks of gestation and reports drinking ginger tea. Which of the following findings indicates the client's use of ginger tea is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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Correct Answer is D

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A nurse is assessing a client who is at 11 weeks of gestation and reports drinking ginger tea.

Which of the following findings indicates the client's use of ginger tea is effective?