A nurse is reinforcing teaching about nutrition with a client who is pregnant and has hyperemesis gravidarum at home.
Which of the following statements indicates that the client understands the teaching?
"I will eat every 6 hours throughout the day.”.
"I will drink water with my meals.”.
"I will limit my protein intake.”.
"I will eat crackers before I get out of bed in the morning.”.
The Correct Answer is D
Choice A rationale:
The statement, "I will eat every 6 hours throughout the day," is not the best approach for a client with hyperemesis gravidarum. Eating at regular intervals may not be well-tolerated in this condition, as frequent nausea and vomiting can make it challenging to keep food down.
Choice B rationale:
The statement, "I will drink water with my meals," is generally a good practice during pregnancy to stay hydrated. However, for a client with hyperemesis gravidarum, it may be advisable to separate fluid intake from meals to minimize the risk of triggering nausea.
Choice C rationale:
The statement, "I will limit my protein intake," is not a recommended approach, especially for a pregnant client. Protein is essential for fetal development, and limiting protein intake may not provide adequate nutrition for the growing fetus.
Choice D rationale:
The statement, "I will eat crackers before I get out of bed in the morning," is a good strategy for managing morning sickness, which is common in pregnancy. Eating plain crackers before getting out of bed can help alleviate nausea and stabilize blood sugar levels.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
The instruction to "cover the cord with the diaper" is incorrect. It's essential to keep the umbilical cord stump dry and exposed to air to promote healing. Covering it with a diaper can trap moisture and increase the risk of infection.
Choice B rationale:
The recommendation to "wrap the cord in petroleum jelly gauze" is not appropriate. Applying petroleum jelly or other ointments to the cord stump is not recommended, as it can also trap moisture and create an environment for bacterial growth.
Choice C rationale:
The instruction to "bathe the newborn with a washcloth until the cord stump falls off" is not the best practice. It's advisable to give sponge baths and avoid submerging the cord stump until it has completely dried and fallen off. Using a washcloth may cause unnecessary friction and irritation.
Choice D rationale:
The advice to "wash the cord daily with mild soap and water" is the correct instruction. Cleaning the cord stump with mild soap and water and then gently patting it dry with a clean cloth is a standard practice for cord care. Keeping the area clean helps prevent infection and promotes healing.
Correct Answer is A
Explanation
Choice A rationale:
"Tell me more about your concerns" is an appropriate therapeutic response by the nurse. It encourages the client to express her worries and fears about the pelvic examination. Open-ended questions like this one allow the nurse to better understand the client's specific concerns, which can help in addressing them effectively.
Choice B rationale:
"All you need to do is relax during the exam" may come across as dismissive and may not address the client's anxiety effectively. It's important to acknowledge the client's feelings and offer support rather than making the situation seem overly simplistic.
Choice C rationale:
"Don't worry. I will stay in there with you for the exam" might make the client feel like she has no control over the situation and can be invasive. While offering support is important, it's essential to respect the client's autonomy and provide emotional support through active listening and communication.
Choice D rationale:
"A pelvic exam is required if you want birth control pills" is not an appropriate response to the client's anxiety about the pelvic exam. This response does not address the client's concerns and may not provide the necessary emotional support or information she needs.
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