A nurse is reinforcing dietary teaching with a client whose pregnancy BMI was 30.5. The nurse should include that which of the following is an acceptable weight gain for this client?
8 lb
32 lb
16 lb
24 lb.
The Correct Answer is C
Choice A Reason:
8 lb is not an appropriate weight gain for this client because it falls below the recommended range.
Choice B Reason:
32 lb is excessive weight gain for a client with a prepregnancy BMI of 30.5. Excessive weight gain during pregnancy can increase the risk of various complications, including gestational diabetes, hypertension, and larger-than-average birth weight.
Choice C Reason:
16 lb is within the recommended range for weight gain during pregnancy for a client with a prepregnancy BMI of 30.5. This falls in the range of approximately 11 to 20 pounds (5 to 9 kilograms) of weight gain.
Choice D Reason:
24 lb is above the upper limit of the recommended weight gain range for a client with a prepregnancy BMI of 30.5. It exceeds the upper limit of approximately 20 pounds (9 kilograms) of weight gain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Applying antibiotic ointment is typically not recommended after a Plastibell circumcision, as it may interfere with the natural healing process.
Choice B Reason:
Ensuring that the baby's diaper is applied snugly can potentially cause friction and discomfort around the circumcision site. It's generally recommended to use loose-fitting diapers to avoid irritation.
Choice C Reason:
Wiping away yellow crusts (scabs) that form around the incision is not advised, as this can disrupt the healing process. It's best to let these crusts fall off naturally as the area heals.
Choice D Reason:
"I will apply pressure with gauze if I see bleeding." This statement by the parent indicates an understanding of circumcision care following a Plastibell circumcision. Applying gentle pressure with gauze if bleeding occurs is an appropriate response to manage bleeding and promote clotting at the circumcision site.
Correct Answer is A
Explanation
a. Incident report.
Whenever a medication error occurs, it should be documented in an incident report. The purpose of the incident report is to document the details of the event, including what happened, why it happened, and what was done to prevent it from happening again. Incident reports are not part of the client's medical record and are not used for disciplinary action. They are used for quality improvement and risk management purposes.
The nursing care plan is a document that outlines the client's nursing care needs and interventions. It is not the appropriate place to document a medication error.
The controlled substance inventory record is used to document the administration and dispensing of controlled substances. It is not the appropriate place to document a medication error.
The provider's progress notes document the provider's assessment, diagnosis, and treatment plan for the client. They are not the appropriate place to document a medication error.
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