A nurse is contributing to the plan of care for a client who is pregnant and reports having trouble sleeping.
Which of the following instructions should the nurse include in the plan of care?
Lie on your left side with your top leg forward.
Soak in a bathtub of hot water each night.
Obtain a prescription for pramipexole.
Use a transcutaneous electrical nerve stimulator.
The Correct Answer is A
Explanation
A .Lie on your left side with your top leg forward
During pregnancy, it is generally recommended for pregnant individuals to sleep on their left side. This position promotes optimal blood flow and circulation to the uterus and placenta, which is beneficial for both the mother and the baby. Placing the top leg forward can help maintain a comfortable and supported position.
Soaking in a bathtub of hot water each night in (option B) is not recommended during pregnancy, as excessive heat from hot baths or saunas can potentially harm the developing fetus. Pregnant individuals should avoid prolonged exposure to hot temperatures.
Obtaining a prescription for pramipexole in (option C) is not a standard intervention for addressing trouble sleeping during pregnancy. Pramipexole is a medication used for the treatment of Parkinson's disease and restless legs syndrome, and its use during pregnancy should be evaluated on a case-by-case basis under the guidance of a healthcare provider.
Using a transcutaneous electrical nerve stimulator (TENS) in (option D) is not typically indicated for sleep difficulties during pregnancy. TENS units are commonly used for pain management, and their use for sleep problems during pregnancy is not a standard recommendation.
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Related Questions
Correct Answer is D
Explanation
Range-of-motion exercises are within the scope of practice for an AP and do not require specialized nursing knowledge or assessment skills. The AP can assist the client in performing these exercises to promote circulation, maintain joint mobility, and prevent complications associated with immobilization.
Determining the circulation status of the affected extremities, evaluating the need for restraints, and providing education to the client's family about the purpose of restraints require nursing assessment, critical thinking, and communication skills. These tasks should be performed by a licensed nurse who can make clinical judgments and ensure the safety and well-being of the client.
Correct Answer is D
Explanation
After a laparoscopic cholecystectomy, steri-strips or adhesive strips are commonly placed over the small incisions. The client should keep the steri-strips in place until they fall off on their own or until they are removed by the healthcare provider during a follow-up visit. Removing the steri-strips prematurely can increase the risk of infection or disrupt the healing process.
"I should eat a high-fat diet for several weeks": After a laparoscopic cholecystectomy, it is important for the client to follow a low-fat diet initially to allow the body time to adjust to the absence of the gallbladder. High-fat foods can be more difficult to digest and may cause digestive discomfort. Gradually introducing small amounts of fat back into the diet is recommended, but a high-fat diet is not appropriate.
"I should expect to have diarrhea until my diet changes": While changes in bowel movements can occur after a cholecystectomy, such as looser stools or changes in frequency, persistent diarrhea is not expected or normal. If the client experiences persistent diarrhea, they should contact their healthcare provider for further evaluation.
"I should expect to have nausea for several days": While some clients may experience mild nausea or discomfort after the surgery, it should generally improve within a few days. If the client experiences persistent or severe nausea, they should contact their healthcare provider.
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