A nurse is caring for a client who is at 26 weeks of gestation. Which of the following statements indicates the client is having difficulty accepting the body image changes associated with pregnancy?
"I've been wearing the same few things every day because most of my clothes don't fit anymore."
"Dressing up for work is a little harder now that I can't wear high heels."
"I've had to start wearing nursing bras already because my breasts are growing so much."
"When I wear high-top yoga pants, they hold my belly in so you can't even tell I'm pregnant."
The Correct Answer is D
A. "I've been wearing the same few things every day because most of my clothes don't fit anymore." This statement reflects a common experience during pregnancy as the body changes. While it may indicate some frustration, it does not necessarily suggest difficulty accepting body image changes.
B. "Dressing up for work is a little harder now that I can't wear high heels." This statement acknowledges an adjustment in clothing choices due to pregnancy but does not indicate distress about body image. Many individuals modify their footwear for comfort and safety as pregnancy progresses.
C. "I've had to start wearing nursing bras already because my breasts are growing so much." This statement reflects awareness of bodily changes rather than difficulty accepting them. Breast enlargement is a normal part of pregnancy, and choosing appropriate clothing to accommodate these changes suggests adaptation rather than distress.
D. "When I wear high-top yoga pants, they hold my belly in so you can't even tell I'm pregnant." This statement suggests an attempt to conceal the pregnancy, which may indicate discomfort with body image changes. Actively trying to hide the pregnancy rather than embracing the natural progression of body changes can be a sign of difficulty accepting the physical transformation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Move the client to a table where other clients are playing cards. A client exhibiting signs of anxiety, such as pacing and hand-wringing, may find social interactions overwhelming. Forcing engagement in a group activity could increase distress rather than provide comfort.
B. Ask the client if they would like to watch television. Television may not be helpful for an anxious client, as it can add to sensory overload rather than provide a calming effect. A more effective approach is direct communication and grounding techniques.
C. Use short, simple sentences when speaking with the client. Anxiety can impair concentration and comprehension. Speaking in short, clear sentences helps the client process information more easily and can promote a sense of security. Calm, concise communication is essential in de-escalating anxiety.
D. Allow the client to have 1 hr of time alone in their room. While some clients may benefit from time alone, extended isolation is not an appropriate first intervention. It is more effective to provide support and reassurance through clear communication before considering a break in a quiet environment.
Correct Answer is D
Explanation
A. Take the medication and then lay down for 30 min. Doxycycline can cause esophageal irritation and ulceration if not taken properly. Clients should remain upright for at least 30 minutes after taking the medication to reduce the risk of esophagitis. Lying down immediately after ingestion increases this risk.
B. Take the medication with an antacid. Antacids containing aluminum, calcium, or magnesium can interfere with doxycycline absorption, reducing its effectiveness. Clients should avoid taking antacids within 1 to 2 hours of doxycycline administration.
C. Take the medication with calcium-fortified orange juice. Calcium interferes with the absorption of doxycycline, potentially decreasing its effectiveness. Clients should avoid dairy products and calcium-rich foods or beverages when taking this medication.
D. Take the medication with crackers. Taking doxycycline with food, such as crackers or a light snack, can help reduce gastrointestinal discomfort without significantly affecting its absorption. Although doxycycline is best absorbed on an empty stomach, taking it with a small amount of food can help minimize nausea and vomiting.
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