A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and has a new prescription for docusate sodium to treat constipation. Which of the following statements should the nurse make?

"Expect this medication to produce a semi-fluid stool within 6 to 12 hours."

"Decrease your intake of high-fiber foods while taking this medication."

"Take this medication with a full 8-ounce glass of water."

"Avoid eating citrus fruits while taking this medication."

Answer and Explanation

The Correct Answer is C

A. Expecting docusate sodium to produce a semi-fluid stool within 6 to 12 hours is incorrect. Docusate sodium is a stool softener that usually works within 1 to 3 days, not as quickly as 6 to 12 hours.
B. Decreasing the intake of high-fiber foods while taking docusate sodium is not advised. In fact, maintaining a high-fiber diet is essential for managing constipation effectively.
C. Taking docusate sodium with a full 8-ounce glass of water is correct. Adequate fluid intake is necessary to help the stool soften and facilitate bowel movements when using this medication.
D. Avoiding citrus fruits while taking docusate sodium is not necessary. Citrus fruits can be beneficial as part of a high-fiber diet to help alleviate constipation.

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Correct Answer is B

Explanation

A. The shoulder harness should be placed between the breasts and off to the side of the gravid uterus, not directly across it. This helps reduce the risk of injury in the event of a crash.

B. Moving the seat as far away as possible from the steering wheel reduces the risk of injury from the steering wheel or airbag impact while still allowing the client to drive safely.

C. The lap belt should be worn low across the hips and under the abdomen, not high across the abdomen, to protect the growing fetus and prevent harm during sudden deceleration.

D. Airbags should not be disabled as they provide essential protection during a crash. Proper seatbelt use and correct seating position allow airbags to function effectively without posing a risk to the pregnant client.

A. Suprapubic area B. Umbilical area C. Above the left iliac crest D. Below the liver border on the right abdomen

Correct Answer is A

Explanation

A. At 12 weeks of gestation, the uterus is typically located in the suprapubic area. The fetal heart tones can often be detected in this region as the fetus is still small enough that its heart tones can be picked up without interference from the mother's abdominal organs.
B. The umbilical area is not the optimal location at this stage; the fetal heart tones are generally not audible in this location until the uterus rises higher into the abdomen in later gestation.
C. Above the left iliac crest is not appropriate for this gestational age. The fetal heart tones would be difficult to detect in that area as the fetus is still quite low in the pelvis.
D. Below the liver border on the right abdomen is also not correct, as the fetal heart tones are unlikely to be found there at 12 weeks.

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A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and has a new prescription for docusate sodium to treat constipation. Which of the following statements should the nurse make?

Nursing Test Bank

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