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A nurse is caring for a client at a provider's office.

Exhibits

Select 4 statements the nurse should plan to include when providing teaching to the client.

"Small frequent snacks can help prevent a drop in glucose."

"Make sure to hydrate with your meals."

"It is okay if you need to skip some meals."

"Hard candy is an appropriate snack."

"Consume large meals to provide adequate calories."

"Ginger tea may help settle your stomach."

"Eat crackers before getting out of bed in the morning."

Answer and Explanation

Correct Answer : A,D,F,G

A. "Small frequent snacks can help prevent a drop in glucose." Frequent, small meals help stabilize blood glucose levels and reduce the risk of nausea due to an empty stomach. They also promote consistent calorie intake when appetite is reduced during early pregnancy.
B. "Make sure to hydrate with your meals." Drinking fluids with meals can increase gastric fullness and make nausea worse. It's often better to drink fluids between meals to avoid bloating and help control symptoms.
C. "It is okay if you need to skip some meals." Skipping meals may lead to hypoglycemia, which can intensify nausea and fatigue. Maintaining a steady intake of food, even in small amounts, supports maternal and fetal well-being.
D. "Hard candy is an appropriate snack." Sucking on hard candy can help reduce nausea by stimulating saliva production and masking unpleasant tastes. It can also serve as a quick source of energy between meals.
E. "Consume large meals to provide adequate calories." Large meals may worsen nausea by distending the stomach. Smaller, frequent meals are better tolerated and still provide sufficient nutrition over the course of the day.
F. "Ginger tea may help settle your stomach." Ginger has been shown to reduce mild to moderate nausea during pregnancy. Ginger tea offers a safe and natural way to soothe the stomach without the use of medications.
G. "Eat crackers before getting out of bed in the morning." Eating bland foods like crackers before rising helps prevent an empty stomach, which often triggers morning sickness. This simple routine can reduce nausea on waking.

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Correct Answer is D

Explanation

A. "Diet sodas should not be consumed more than two or three times per week." Many diet sodas contain aspartame, which is metabolized into phenylalanine. Individuals with PKU should avoid aspartame altogether, not just limit it, to prevent harmful phenylalanine buildup.
B. "Serum bilirubin should be monitored one to two times per month during pregnancy." Bilirubin monitoring is not related to PKU management. For clients with PKU, monitoring phenylalanine levels—not bilirubin—is essential to prevent fetal complications from elevated maternal phenylalanine.
C. "Breastfeeding will prevent your baby from developing PKU." PKU is a genetic disorder. Breastfeeding does not prevent its inheritance. However, breast milk can be used cautiously under medical guidance if the infant has PKU, along with a special low-phenylalanine formula.
D. "A low-protein diet should be followed for 3 months prior to conception." Strict control of phenylalanine levels through a low-protein, low-phenylalanine diet before and during pregnancy reduces the risk of teratogenic effects on the fetus, such as microcephaly and developmental delays.

A. Grapefruit B. Coffee C. Milk D. Oatmeal

Correct Answer is A

Explanation

A. Grapefruit: Grapefruit inhibits the cytochrome P450 3A4 enzyme in the liver, which is responsible for metabolizing atorvastatin. When this enzyme is blocked, the levels of atorvastatin in the blood can rise increasing the risk of serious side effects such as muscle toxicity and liver damage. Clients taking statins should completely avoid grapefruit to ensure the medication is processed safely and effectively.
B. Coffee: Coffee does not interact with atorvastatin in a clinically significant way. While excessive caffeine intake can have other health implications, it does not affect the metabolism or effectiveness of atorvastatin. Clients with hyperlipidemia may still consume coffee in moderation unless otherwise advised based on other health conditions.
C. Milk: Milk does not interfere with atorvastatin's absorption or metabolism. It is safe to consume while on the medication. In fact, low-fat dairy products can be part of a heart-healthy diet aimed at lowering cholesterol, making milk an acceptable food choice for clients with hyperlipidemia.
D. Oatmeal: Oatmeal is beneficial for clients with hyperlipidemia because it contains soluble fiber, which helps to lower LDL (bad) cholesterol levels. There are no known interactions between oatmeal and atorvastatin. Including oatmeal in the diet supports the therapeutic goals of atorvastatin by promoting heart health.

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A nurse is caring for a client at a provider's office. Exhibits Select 4 statements the nurse should plan to include when providing teaching to the client.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing anticipatory guidance to a client who has phenylketonuria (PKU) and is planning a pregnancy. Which of the following information should the nurse include in the discussion?

Correct Answer is D

Explanation

A nurse is teaching a client who has hyperlipidemia and a new prescription for atorvastatin. The nurse should instruct the client to avoid which of the following foods?

Correct Answer is A

Explanation

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A nurse is caring for a client at a provider's office.

Exhibits

Select 4 statements the nurse should plan to include when providing teaching to the client.