A nurse is reinforcing teaching with a client who is at 12 weeks of gestation and has hyperemesis gravidarum. Which of the following client statements indicates an understanding of the nurse's instructions?
"I will try to eat balanced meals instead of only foods that appeal to my taste."
"I will eat or drink something every 2 to 3 hours throughout the day."
"I will eat a low-protein snack 30 minutes before going to bed each night."
"I will wait 1 hour after getting up in the morning to have breakfast." The correct answer is B
The Correct Answer is B
Hyperemesis gravidarum is a severe form of morning sickness characterized by persistent nausea, vomiting, and dehydration during pregnancy. It is important for the client to maintain proper nutrition and hydration.
Eating or drinking something every 2 to 3 hours throughout the day helps to keep the stomach relatively full, reducing the likelihood of experiencing severe nausea and vomiting due to an empty stomach. It also helps provide a steady supply of nutrients and fluids to support the client's health and the growing fetus.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
After a tonic-clonic seizure, the nurse should first check the child for any injuries, particularly in the oral cavity. This is because during a seizure, the child's tongue may have been biten, or there may be other oral injuries. Therefore, it is essential to check the oral cavity for any injury or bleeding.
Offering sips of clear fluids is not a priority at this time as the child may still be disoriented and at risk of choking. Placing the child in a supine position is also not recommended because the child may have difficulty breathing due to muscle weakness or constriction of the airways. Administering an oral antiepileptic medication is not appropriate at this time unless prescribed by a healthcare provider.
Correct Answer is ["C","D","E","F"]
Explanation
A. Inform the client that an advance directive discontinues further care.This statement is incorrect. An advance directive does not discontinue further care but outlines the client's preferences for medical treatment if they become unable to communicate their wishes.
B. Initiate a power of attorney for health care documents.This is not the nurse's responsibility. Initiating a power of attorney for health care documents typically involves legal consultation, and the client should be referred to appropriate resources.
C. Document that the provider discussed do-not-resuscitate status with the client.This is correct. The nurse should document that the provider has discussed DNR (Do Not Resuscitate) status with the client, ensuring that the discussion and decision are clearly recorded in the medical record.
D. Provide the client with written information about advance directives.This is correct. The nurse is responsible for providing the client with written information about advance directives, ensuring the client understands their rights and options.
E. Communicate advance directives status via the medical record and shift report.This is correct. The nurse must ensure that the client's advance directive status is clearly communicated in the medical record and during shift reports to ensure continuity of care.
F. Instruct the client that an advance directive is a legal document and must be honored by care providers.This is correct. The nurse should inform the client that an advance directive is a legal document that healthcare providers are required to honor, according to the client's wishes.
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