A primigravida who is at 10-weeks gestation is hospitalized on the antepartum unit for pyelonephritis. The client tells the practical nurse (PN) that she has had several episodes of nausea. When reviewing her lunch menu, which food should the PN discourage her from choosing?

Cheeseburger and French fries.

Baked chicken with rice.

Pasta with steamed vegetables.

Baked potato chips and lemonade.

Answer and Explanation

The Correct Answer is A

During pregnancy, it is important for the client to consume a balanced and nutritious diet that includes adequate protein, vitamins, and minerals. However, clients with nausea and vomiting may have difficulty tolerating certain foods, particularly those that are high in fat or spicy. Cheeseburgers and French fries are typically high in fat and can exacerbate nausea, making them a poor choice for a client with this symptom.

Baked chicken with rice and pasta with steamed vegetables are both healthier options that can provide the client with adequate nutrition.

Baked potato chips and lemonade may be a suitable snack for some clients, but the high salt content of the chips may exacerbate ﬂuid retention, which can be a concern for clients with pyelonephritis. The PN should encourage the client to choose healthier options and avoid foods that are likely to exacerbate her symptoms.

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Correct Answer is D

Explanation

Acute glomerulonephritis is a type of kidney disease that can develop after an infection such as strep throat. A sore throat is a common symptom of strep throat and could have been the sign that motivated the parents to seek medical care for their child.

Hematuria (A) is the presence of blood in the urine and can be a symptom of acute glomerulonephritis, but it is not the most likely sign that originally motivated the parents to seek medical care. Weight loss (B) and polydipsia (C), which is excessive thirst, are not typically associated with acute glomerulonephritis or strep throat.

A. Burp the infant after every 10 mL of formula and re-feed any volume that is spit up. B. Place the infant in the right lateral position to facilitate gastric emptying. C. Oﬀer a pacifier during the feedings to satiate the sucking reﬂex associated with feedings. D. Flush the GT with 50 mL water and clamp the GT to prevent leakage.

Correct Answer is C

Explanation

During gastrostomy (GT) feedings for a newborn infant with a tracheo-esophageal repair, the practical nurse (PN) should oﬀer a pacifier to satiate the sucking reﬂex associated with feedings. Sucking is a natural reﬂex for infants and providing a pacifier during feedings can help satisfy this need and promote comfort. The other interventions listed may also be important to implement during GT feedings, but oﬀering a pacifier to satiate the sucking reﬂex is the most appropriate intervention in this situation.

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A primigravida who is at 10-weeks gestation is hospitalized on the antepartum unit for pyelonephritis. The client tells the practical nurse (PN) that she has had several episodes of nausea. When reviewing her lunch menu, which food should the PN discourage her from choosing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The parents of a child with acute glomerulonephritis are describing to the practical nurse (PN) what originally motivated them to seek medical care. Which sign did the child most likely exhibit?

Correct Answer is D

Explanation

A newborn infant with a tracheoesophageal repair is receiving gastrostomy (GT) feedings postoperatively. Which intervention should the practical nurse (PN) implement during the GT feedings?

Correct Answer is C

Explanation

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