A nurse is measuring the fundal height of a client who is at 36 weeks of gestation. The client suddenly reports nausea. Which of the following actions should the nurse take?
Administer propranolol IV to the client
Position the client on her side.
Ask the client to increase her daily calcium intake.
Use Leopold maneuvers to determine the fetal position.
The Correct Answer is B
A. Administer propranolol IV to the client: Propranolol is a beta-blocker used to treat hypertension and certain cardiac conditions. It is not indicated for sudden nausea during pregnancy and could be harmful if administered without cause.
B. Position the client on her side: At 36 weeks, the gravid uterus can compress the inferior vena cava when the client lies flat, reducing venous return and causing supine hypotensive syndrome, which often presents as nausea. Turning the client to her side relieves pressure and restores circulation.
C. Ask the client to increase her daily calcium intake: Calcium is important during pregnancy, especially for bone health, but increasing intake is not an acute intervention for nausea caused by positional blood flow issues.
D. Use Leopold maneuvers to determine the fetal position: Leopold maneuvers assess fetal position but do not address the client’s immediate symptom of nausea, which may indicate compromised circulation from lying supine. Position change is the priority action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. “It sounds like you're saying that you feel uncomfortable around others.": This therapeutic response reflects the client's feelings and encourages further expression, showing empathy without judgment or assumption.
B. “How long have you struggled with your weight?": This question shifts the focus to the client’s weight history rather than their current emotional distress, which may feel dismissive or overly clinical.
C. “Have you always felt uncomfortable being overweight?": This response makes assumptions about the client's feelings and can come across as insensitive, which may inhibit open communication.
D. “Let's discuss some weight loss strategies that might work for you.”: Offering solutions too early may invalidate the client’s emotions and shift the focus away from addressing their immediate feelings of embarrassment and discomfort.
Correct Answer is C
Explanation
A. Apply splints to the child's extremities during the day: Splints are typically used at night to support proper joint positioning and reduce stiffness during rest. Using them during the day may limit the child’s mobility and interfere with normal activity, which is not ideal for joint health.
B. Keep the child on bedrest as long as pain persists: Prolonged bedrest can lead to increased joint stiffness and muscle wasting. Maintaining activity within comfort levels is encouraged to promote mobility and joint flexibility.
C. Have the child take a tub bath each morning: Warm tub baths in the morning help to relieve joint stiffness, improve circulation, and make it easier for the child to move comfortably throughout the day. This non-pharmacologic intervention supports daily function.
D. Encourage the child to take naps during the day: While adequate rest is important, excessive daytime napping may reduce physical activity, which is necessary to maintain joint function and overall well-being in juvenile idiopathic arthritis.
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