A nurse is caring for a client who is 24 hr postpartum and is breastfeeding her newborn. The client asks the nurse to warm up seaweed soup that the client's partner brought for her. Which of the following responses should the nurse make?

“The hospital food is more nutritious for you”

“Of course, I will heat that up for you."

"Why are you eating seaweed soup?”

“Does the doctor know that you are eating that?"

Answer and Explanation

The Correct Answer is B

Rationale:

A. “The hospital food is more nutritious for you”: This response dismisses the client’s cultural preferences and assumes hospital food is superior without acknowledging personal or traditional choices, which may negatively affect rapport and trust.

B. “Of course, I will heat that up for you.” This response respects the client’s cultural beliefs and supports individualized postpartum care. Seaweed soup is a traditional food in some cultures believed to aid in postpartum recovery and milk production.

C. “Why are you eating seaweed soup?” Asking this without sensitivity can come off as judgmental or culturally insensitive. The client may feel criticized or misunderstood, even if the nurse is simply curious.

D. “Does the doctor know that you are eating that?” This implies that the food might be unsafe or needs medical approval, which can be perceived as disrespectful or unnecessary unless there’s a clinical reason for concern.

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Correct Answer is D

Explanation

Rationale:

A. Ritualistic behavior: Ritualistic or compulsive behaviors are most commonly associated with obsessive-compulsive personality disorder or obsessive-compulsive disorder, not narcissistic personality disorder.

B. Suspicious of others: Suspiciousness and distrust are hallmark features of paranoid personality disorder. While individuals with narcissistic traits may be sensitive to criticism, they are not generally suspicious in a paranoid sense.

C. Exhibits separation anxiety: Separation anxiety and fear of being alone are typically seen in dependent personality disorder and sometimes borderline personality disorder, not narcissistic personality disorder.

D. Preoccupied with aging: Clients with narcissistic personality disorder are often highly concerned with maintaining a youthful and admired image. They may fear aging due to its association with loss of beauty, status, or power, making this the expected finding.

A. "Morphine 3 mg SQ every 4 hr PRN for pain." B. "Morphine 3.0 mg sub q every 4 hr PRN for pain." C. "Morphine 3 mg subcutaneous every 4 hr PRN for pain." D. "Morphine 3 mg SC q4hr PRN for pain.”

Correct Answer is C

Explanation

Rationale:

A. "Morphine 3 mg SQ every 4 hr PRN for pain.": The abbreviation "SQ" is considered unsafe and can be misinterpreted. The Joint Commission recommends avoiding this abbreviation and writing out "subcutaneous" to ensure clarity and patient safety.

B. "Morphine 3.0 mg sub q every 4 hr PRN for pain.": Using a trailing zero (e.g., "3.0 mg") increases the risk of a dosing error if the decimal point is missed. Standard documentation practices recommend omitting trailing zeros for whole numbers.

C. "Morphine 3 mg subcutaneous every 4 hr PRN for pain.": This entry uses the full name "subcutaneous," avoids unsafe abbreviations, and omits the trailing zero, adhering to safe and standardized medication documentation guidelines.

D. "Morphine 3 mg SC q4hr PRN for pain.": Both "SC" and "q4hr" are discouraged abbreviations. "SC" can be confused with "SL" (sublingual), and "q" abbreviations can be misread. Writing terms in full reduces the risk of misinterpretation.

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A nurse is caring for a client who is 24 hr postpartum and is breastfeeding her newborn. The client asks the nurse to warm up seaweed soup that the client's partner brought for her. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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