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?"
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. "My home has running water and electricity": Access to utilities like water and electricity supports hygiene and food safety. This statement does not indicate a health risk and instead suggests a stable living environment.
B. “I wear a hat and long sleeves while I am working”: Wearing protective clothing helps reduce exposure to the sun, pesticides, and other environmental hazards, thereby promoting health and safety during outdoor labor.
C. “I am currently sharing my home with two roommates”: Sharing housing is common among migrant or seasonal workers. While crowding can pose a potential health risk, this specific scenario doesn’t indicate excessive crowding or direct danger.
D. “I eat vegetables directly from the field where I work”: Consuming unwashed produce from the field poses a significant risk for pesticide exposure and ingestion of harmful microbes. This practice is unsafe and could lead to acute or chronic health issues.
Correct Answer is C,D,A,B
Explanation
Rationale:
A. Close all nearby windows and doors: Containment helps prevent the spread of smoke and flames. Closing doors and windows minimizes oxygen supply to the fire and keeps it from moving into other areas.
B. Use the unit's fire extinguisher to attempt to put out the fire: The final step is to extinguish the fire, but only if it is safe to do so. The nurse should not attempt this before ensuring safety, alerting others, and containing the fire.
C. Transport the client to another area of the nursing unit: The first priority in a fire situation is rescue, removing anyone in immediate danger, especially vulnerable clients who cannot evacuate themselves.
D. Activate the facility's fire alarm system: Once the client is safe, the next step is to alarm the system to alert others in the facility and begin emergency response protocols.
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