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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Correct Answer is B
Explanation
The guideline of being able to fit one finger between the mattress and the side of the crib ensures that there is a safe space to prevent entrapment and suffocation risks.
Placing a newborn on a pillow for sleep is unsafe. Infants should be placed on their backs to sleep on a firm, flat surface without pillows, blankets, or soft bedding. This reduces the risk of suffocation or sudden infant death syndrome (SIDS).
Attaching a pacifier to the newborn's clothing with a string is hazardous. Strings and cords pose a strangulation risk. Pacifiers should be used according to safe guidelines, but they should not be attached to the baby's clothing with any type of string or cord.
Placing a newborn's crib near a heat vent can result in overheating, which is a safety concern. It is important to keep the baby's sleep environment at a comfortable temperature without direct exposure to heat sources or drafts
Correct Answer is D
Explanation
Warfarin is an anticoagulant medication that works by inhibiting the synthesis of vitamin K-dependent clotting factors in the liver. Therefore, it is important to monitor the client's clotting ability to ensure that the medication is working properly and not causing any adverse effects. The laboratory test that is used to monitor warfarin therapy is the prothrombin time (PT), which measures the time it takes for the blood to clot. The nurse should monitor the client's PT regularly and adjust the dosage of warfarin as necessary to maintain the therapeutic range. Option a (Triiodothyronine) is a thyroid hormone and is not directly related to warfarin therapy. Option b (Blood urea nitrogen) is a measure of kidney function and is also not directly related to warfarin therapy. Option c (Arterial blood gases) is a measure of oxygen and carbon dioxide levels in the blood and is not related to warfarin therapy.
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