A nurse is instructing a client about food safety during pregnancy. Which of the following information should the nurse include?

"Store and eat luncheon deli meats cold while pregnant."

"Wash all fruits thoroughly before consumption during pregnancy."

"Consumption of raw fish is safe during pregnancy if done in moderation."

"Food-borne illnesses are more difficult to contract while pregnant."

Answer and Explanation

The Correct Answer is B

Rationale:
A. "Store and eat luncheon deli meats cold while pregnant.": Cold deli meats can harbor Listeria monocytogenes, which can cause listeriosis and increase the risk of miscarriage or fetal infection. Pregnant clients should heat deli meats until steaming before consumption to reduce this risk.

B. "Wash all fruits thoroughly before consumption during pregnancy.": Washing fruits removes dirt, bacteria, and potential contaminants such as Listeria or Toxoplasma, reducing the risk of food-borne illness. This is a key preventive measure for maintaining maternal and fetal health.

C. "Consumption of raw fish is safe during pregnancy if done in moderation.": Raw fish can contain parasites and bacteria such as Salmonella, or Toxoplasma. Pregnant clients should avoid raw or undercooked fish entirely to prevent serious infections that can harm the fetus.

D. "Food-borne illnesses are more difficult to contract while pregnant.": Pregnancy actually increases susceptibility to certain food-borne illnesses due to immunologic changes. Pregnant clients should follow strict food safety measures to protect both maternal and fetal health.

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Correct Answer is A

Explanation

Rationale:
A. A client who is receiving a blood transfusion and reports low-back pain: Low-back pain during a blood transfusion indicates a possible acute hemolytic reaction caused by ABO incompatibility. This is a life-threatening emergency that requires immediate discontinuation of the transfusion and notifying the provider to prevent renal failure and shock.

B. A female client who is scheduled for chemotherapy and has an RBC count of 4.0 x10⁶/µL (4.2–5.4 x10⁶/µL): Although the RBC count is slightly low, this finding is not immediately life-threatening. The provider should be informed, but the client does not require urgent intervention.

C. A client who is 24 hr postoperative following a transurethral resection of the prostate and has small blood clots in the drainage tubing: Small clots are expected during the first 24 to 36 hours post-TURP due to residual bleeding from the surgical site.

D. A client who is 2 days postoperative following placement of an ascending colostomy and has shreds of bloody mucus in the bag: Small amounts of bloody mucus are normal during the early postoperative phase as the bowel mucosa heals.

A. Sore throat B. Tinnitus C. Rhinitis D. Headache

Correct Answer is A

Explanation

Rationale:
A. Sore throat: A sore throat can indicate agranulocytosis, a potentially life-threatening adverse effect of clozapine. Prompt monitoring of WBC counts and reporting symptoms such as fever or sore throat is essential to prevent serious infection.

B. Tinnitus: Tinnitus is not a common or severe adverse effect of clozapine. While it may be bothersome, it does not require immediate reporting to the provider in the context of clozapine therapy.

C. Rhinitis: Mild nasal congestion or rhinitis can occur with clozapine use but is generally not dangerous or indicative of a serious complication. Monitoring is routine, but urgent reporting is not required.

D. Headache: Headaches are a common, nonspecific side effect and do not typically indicate a life-threatening reaction. Routine assessment and symptom management are appropriate.

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A nurse is instructing a client about food safety during pregnancy. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medical-surgical unit is receiving reports for four clients. Which of the following clients should the nurse assess first?

Correct Answer is A

Explanation

A nurse is assessing a client who is taking clozapine. For which of the following adverse effects should the nurse monitor and report to the provider?

Correct Answer is A

Explanation

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