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 B
Explanation
Choice A Reason:
Discontinuing music therapy when the client is no longer responsive is not necessary. Music therapy can continue to provide comfort and support even if the client is not responsive.
Choice B Reason:
"Music will distract my husband's awareness of the pain." This statement indicates an understanding of the potential benefits of music therapy for pain management. Music therapy can help distract individuals from their pain, reduce anxiety and stress, and enhance relaxation. It may not eliminate pain entirely but can provide a valuable complementary approach to pain management in hospice care.
Choice C Reason:
Playing music is not typically used to increase alertness in the context of pain management. Instead, it is often used to promote relaxation and reduce pain-related distress.
Choice D Reason:
Music therapy is not a replacement for medication in managing pain, especially breakthrough pain. Medication and music therapy can be used together as part of a comprehensive pain management plan in hospice care.
Correct Answer is A
Explanation
a. Sounds are high-pitched.
Hyperactive bowel sounds are bowel sounds that are louder and more frequent than normal. They may be heard as high-pitched rushing or tinkling sounds that occur irregularly at a rate greater than 5-6 sounds per minute. They are often associated with increased intestinal motility, such as in diarrhea, gastroenteritis, or early bowel obstruction.
Option b is incorrect because hyperactive bowel sounds are not typically associated with a paralytic ileus, which is a condition where the bowel stops working and there is a lack of bowel sounds.
Option c is incorrect because hyperactive bowel sounds indicate increased motility, not decreased motility.
Option d is incorrect because soft bowel sounds at a rate of 1/min are considered hypoactive bowel sounds, which can be a sign of decreased intestinal motility, as seen in constipation or postoperative ileus.
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