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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Assessing the client's suicidal intent and the presence of a specific plan for self-harm is crucial in determining the level of immediate risk and the need for intervention. This question directly addresses the client's current state and potential danger.
While all the questions are important in assessing the client's situation, determining the presence of a plan for self-harm takes precedence as it helps evaluate the level of imminent danger and the need for immediate intervention.
The other questions are also important but can be addressed after ensuring the client's safety and appropriate intervention based on the information gathered regarding the plan for self-harm. These questions can provide additional information to further assess the client's support system, history, and current stressors, which can contribute to understanding the context and potential risk factors for the client.
Remember, if the client expresses an immediate plan and intent for self-harm, it is essential to take appropriate steps to ensure their safety, such as involving the appropriate mental health professionals, implementing a safety plan, and providing constant supervision as needed.
Correct Answer is A
Explanation
Observing the client during and after meals is crucial for monitoring their eating behaviors, identifying any signs of bingeing or purging, and assessing their overall progress in managing their eating disorder. By closely observing the client, the nurse can provide immediate support and intervention if necessary and help prevent or address any potentially harmful behaviors. Instructing the client about effective coping strategies is valuable in helping them develop healthier ways to manage stress and emotions. However, this instruction can be more effective once the nurse has observed the client's behaviors and identified specific areas where coping strategies are needed.
Suggesting that the client assist with meal planning can be a helpful step in empowering them to take ownership of their eating habits and make healthier choices. However, before involving the client in meal planning, it is important to first assess their current eating behaviors and address any immediate concerns or risks.
Referring the client to a support group for individuals with eating disorders is a beneficial step in providing ongoing support and community. However, this referral can be made once the nurse has established a baseline understanding of the client's behaviors and needs.
Observing the client during and after meals is crucial for monitoring their eating behaviors, identifying any signs of bingeing or purging, and assessing their overall progress in managing their eating disorder. By closely observing the client, the nurse can provide immediate support and intervention if necessary and help prevent or address any potentially harmful behaviors. Instructing the client about effective coping strategies is valuable in helping them develop healthier ways to manage stress and emotions. However, this instruction can be more effective once the nurse has observed the client's behaviors and identified specific areas where coping strategies are needed.
Suggesting that the client assist with meal planning can be a helpful step in empowering them to take ownership of their eating habits and make healthier choices. However, before involving the client in meal planning, it is important to first assess their current eating behaviors and address any immediate concerns or risks.
Referring the client to a support group for individuals with eating disorders is a beneficial step in providing ongoing support and community. However, this referral can be made once the nurse has established a baseline understanding of the client's behaviors and needs.
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