A nurse is providing teaching to a client who is experiencing hyperemesis gravidarum.Which of the following instructions should the nurse include in the teaching?
Eliminate unhealthy food from the diet.
Avoid eating foods containing dairy.
Drink 240 mL (8 oz) of water with each meal.
Eat foods at colder temperatures.
Eat foods at colder temperatures.
The Correct Answer is D
Choice A rationale:
Eliminating unhealthy foods is generally a good practice, but specific guidance related to managing hyperemesis gravidarum is needed.
Choice B rationale:
Dairy products can be included in the diet unless the client has a specific intolerance or allergy.
Choice C rationale:
Drinking water with each meal can be helpful, but avoiding dehydration is more important. Fluid intake should be consistent throughout the day.
Choice D rationale:
Hyperemesis gravidarum is a condition that causes severe nausea and vomiting during pregnancy, which can lead to dehydration, electrolyte imbalance, and weight loss. To prevent or reduce these complications, the nurse should instruct the client to eat foods at colder temperatures, as they are less likely to trigger nausea than hot or spicy foods. The client should also eat small, frequent meals and avoid foods that are greasy, fatty, or have strong odors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Poorly controlled blood sugar levels can lead to fetal overgrowth (macrosomia), which increases the risk of a large baby during delivery.
Choice B rationale:
High blood sugar levels after delivery are not specific to babies born to mothers with type 1 diabetes.
Choice C rationale:
Insulin dosage requirements often increase during the second and third trimesters due to insulin resistance, not decrease.
Choice D rationale:
The risk of ketoacidosis is not typically increased in the first trimester; rather, the focus is on controlling blood sugar levels to minimize risks to the developing fetus.
Correct Answer is ["A","B","D","E"]
Explanation
A. Providing rest breaks between nursing care activities is essential to prevent fatigue and allow for recovery, as stroke patients often have reduced endurance and energy.
B. Notifying the provider of a systolic blood pressure higher than 180 mm Hg is crucial because hypertension can exacerbate brain injury following a stroke and increase the risk of hemorrhagic transformation.
C. Administering aspirin 650 mg every 6 hours for a headache is not recommended without a physician's order, especially post-stroke, as it can increase the risk of bleeding.
D. Keeping the client's head in a midline neutral position helps to promote venous drainage and decrease intracranial pressure, which is beneficial in the management of a stroke patient.
E. Monitoring the client's vital signs every 4 hours is important for detecting any changes in the patient's condition that may indicate complications or the need for medical intervention.
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