A nurse is reinforcing dietary teaching with a client whose prepregnancy BMI was 30.5. The nurse should include that which of the following is an acceptable weight gain for this client?
32 lb
8 lb
16 lb
24 lb
The Correct Answer is C
Explanation: According to the Institute of Medicine, women who are obese before pregnancy (BMI of 30 or higher) should gain 11 to 20 pounds during pregnancy. Therefore, 16 lb is an acceptable weight gain for this client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The client has a decreased energy level.A decreased energy level can be a sign of hopelessness, as the client may feel a lack of motivation or purpose due to the terminal nature of the illness. This can manifest as fatigue, lethargy, or a general disinterest in activities.
B. The client requests a second opinion.Requesting a second opinion is generally a sign that the client is still actively engaged in their care and is seeking more information or alternative options. It indicates hope or a desire for different possibilities rather than hopelessness.
C. The client wants to talk about the diagnosis with the nursing staff.Wanting to talk about the diagnosis with the nursing staff suggests that the client is processing the information and seeking support. Open communication is a positive coping mechanism and not typically an indication of hopelessness.
D. The client makes funeral arrangements.Making funeral arrangements can be a practical and proactive approach to dealing with a terminal diagnosis. While it reflects an acceptance of the situation, it does not necessarily indicate hopelessness. Instead, it can show that the client is taking control of their end-of-life decisions.
Correct Answer is C
Explanation
Choice A reason:
"You should administer the medication at bedtime." This statement is incorrect option. Administering methylphenidate at bedtime is not appropriate because it is a stimulant medication, and taking it in the evening could interfere with the child's ability to fall asleep and disrupt their sleep pattern.
Choice Breason:
"Your child should avoid foods containing tyramine. “This statement is incorrect option. Tyramine is not a concern with methylphenidate. Tyramine is associated with certain antidepressant medications, such as MAO inhibitors. Methylphenidate is not a MAO inhibitor, so there is no need for the child to avoid tyramine-containing foods.
Choice Creason:
"You should administer the medication after breakfast." This is the correct option. Administering methylphenidate after breakfast is a common practice because it allows the child to benefit from the medication during school hours when improved attention and focus are needed the most.
Choice Dreason:
"Your child should avoid excess sodium intake." This statement is an incorrect option. Excess sodium intake is not directly related to methylphenidate use. However, it is generally a good idea for anyone, including children, to have a balanced and healthy diet, which may include monitoring sodium intake. But it is not specifically tied to the administration of methylphenidate.
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