A nurse is teaching a client about dietary recommendations while breastfeeding. Which of the following client statements should the nurse identify as an indication of understanding the teaching?

"I can have up to three glasses of wine per day while breastfeeding."

"I need to drink a glass of fluid each time I nurse and with all meals."

"I should avoid all seafood while I am breastfeeding."

"I need to eat a bland diet while breastfeeding, as babies often react to spicy food."

Answer and Explanation

The Correct Answer is B

Rationale:
A. "I can have up to three glasses of wine per day while breastfeeding.": Alcohol passes into breast milk and can affect the infant’s neurologic development and feeding patterns. Regular alcohol intake should be avoided.

B. "I need to drink a glass of fluid each time I nurse and with all meals.": Adequate hydration supports optimal milk production during breastfeeding. Increasing fluid intake each time the mother nurses or eats helps replace fluids lost through lactation and prevents dehydration.

C. "I should avoid all seafood while I am breastfeeding.": Seafood provides essential omega-3 fatty acids that support the infant’s brain and eye development. The mother should only avoid high-mercury fish such as swordfish and king mackerel.

D. "I need to eat a bland diet while breastfeeding, as babies often react to spicy food.": Most infants tolerate varied maternal diets, including spicy foods, without adverse effects. Restricting flavors unnecessarily limits the mother’s nutrition and is not required.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

Rationale:
A. Encourage the client to watch television: Distracting the client with television is not effective during an acute panic attack. The client may be too anxious to focus, and this approach does not provide emotional support or safety.

B. Teach the client how to meditate: Teaching meditation is a long-term coping strategy and is not helpful during an acute panic attack, when the client requires immediate support and reassurance.

C. Administer a dose of atomoxetine to decrease anxiety: Atomoxetine is used to treat attention-deficit/hyperactivity disorder (ADHD) and is not indicated for acute anxiety or panic attacks. Medications for acute panic typically include fast-acting benzodiazepines if prescribed.

D. Sit with the client to provide a sense of security: Providing a calm presence and sitting with the client helps reduce feelings of fear and isolation. This intervention offers immediate emotional support, reassurance, and a sense of safety during the panic episode.

A. Maintain the head of the bed at a 30 degree angle. B. Administer stool softeners to the client. C. Encourage the client to cough and deep breathe. D. Obtain client vital signs every 8 hr. E. Provide a quiet environment for the client.

Correct Answer is ["A","B","E"]

Explanation

Rationale:
A. Maintain the head of the bed at a 30 degree angle: Elevating the head of the bed promotes venous drainage from the brain and helps lower intracranial pressure (ICP). A 30-degree position optimizes cerebral perfusion without compromising blood flow to the brain tissue.

B. Administer stool softeners to the client: Stool softeners prevent straining during bowel movements, which increases intrathoracic and intracranial pressure. Preventing Valsalva maneuvers helps maintain stable ICP and reduces the risk of secondary brain injury.

C. Encourage the client to cough and deep breathe: Coughing can sharply increase ICP due to the rise in intrathoracic pressure. Clients with elevated ICP should be discouraged from coughing or performing any action that increases pressure in the head.

D. Obtain client vital signs every 8 hr: Clients with increased ICP require frequent monitoring, typically every 1 to 2 hours or continuously, depending on severity. Monitoring only every 8 hours is inadequate and could delay detection of critical changes in neurological status.

E. Provide a quiet environment for the client: Reducing environmental stimuli, such as noise and bright lights, prevents agitation and minimizes fluctuations in ICP. A calm and quiet setting supports cerebral stability and promotes healing.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is teaching a client about dietary recommendations while breastfeeding. Which of the following client statements should the nurse identify as an indication of understanding the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who has increased intracranial pressure following a traumatic brain injury. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

A nurse is caring for a client who has cancer and is being transferred to hospice care. The client's daughter tells the nurse, "I'm not sure what to say to my mom if she asks me about dying." Which of the following responses by the nurse is appropriate? (Select all that apply.)

A nurse is teaching a client about dietary recommendations while breastfeeding. Which of the following client statements should the nurse identify as an indication of understanding the teaching?

A nurse is reviewing the medical record of a client who had abdominal surgery 2 days ago. The nurse should identify that which of the following findings indicates the client is at risk for delayed wound healing?

The nurse is continuing to care for the client. Exhibits The nurse is initiating the client's plan of care. Which of the following interventions should the nurse plan to implement? Select all that apply.

A nurse is providing teaching about the administration of gastrostomy tube feedings to the parents of an infant. Which of the following instructions should the nurse include?

A nurse is caring for a client who is at the end of life. Which of the following findings should indicate to the nurse a need for a palliative care consultation to be initiated?

A nurse is teaching a client who has an ileostomy about the care of their stoma site. Which of the following statements made by the client indicates the teaching was effective?

A nurse is planning care for a client who is Chinese American and reports adhering to Chinese cultural postpartum practices. Which of the following should the nurse anticipate?