The nurse has reviewed the Nurses' Notes from 5 days ago.

The nurse is providing discharge teaching to the client. Select the 3 statements the nurse should make.

"Avoid consuming dairy products."

"Eat something every 3 hours while awake."

"Avoid drinking carbonated beverages."

"Eat a high-protein snack at bedtime."

"Drink liquids between, rather than with, meals."

Answer and Explanation

Correct Answer : B,D,E

A. "Avoid consuming dairy products.": Dairy products are not contraindicated in hyperemesis gravidarum unless the client experiences intolerance or triggers nausea. Eliminating dairy entirely is unnecessary and may reduce nutritional intake.

B. "Eat something every 3 hours while awake.": Frequent, small meals help prevent an empty stomach, which can worsen nausea and vomiting in hyperemesis gravidarum. This strategy promotes more consistent nutrient intake and reduces episodes of vomiting.

C. "Avoid drinking carbonated beverages.": Carbonated beverages are not universally contraindicated and may sometimes help settle nausea for some clients. Blanket avoidance is not required unless the client identifies carbonation as a personal trigger.

D. "Eat a high-protein snack at bedtime.": Consuming protein before bed can help maintain blood glucose levels overnight and reduce nausea upon waking, which is especially beneficial in managing hyperemesis gravidarum.

E. "Drink liquids between, rather than with, meals.": Drinking fluids between meals prevents the stomach from becoming too full during eating, which can exacerbate nausea and vomiting. This approach helps improve hydration without worsening gastrointestinal discomfort.

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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"A,C"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

Rationale:

• Tachycardia: Tachycardia is a common early sign of both malignant hyperthermia and hypovolemic shock. In malignant hyperthermia, it results from excessive metabolic activity and catecholamine release. In hypovolemic shock, tachycardia is a compensatory response to decreased circulating volume to maintain perfusion.

• Hypercapnia: Elevated PaCO2 occurs in malignant hyperthermia due to increased muscle metabolism and CO2 production. Hypercapnia is a hallmark early indicator of this condition. It is not typically observed in latex allergy or hypovolemic shock.

• Urticaria: Urticaria (hives) is a classic manifestation of a latex allergy, reflecting an IgE-mediated hypersensitivity reaction. Clients may also experience pruritus or flushing. Urticaria is not characteristic of malignant hyperthermia or hypovolemic shock.

• Muscle rigidity: Muscle rigidity, especially of the jaw (masseter), is a hallmark sign of malignant hyperthermia caused by an uncontrolled release of calcium in skeletal muscles triggered by certain anesthetic agents. Rigidity does not occur with latex allergy or hypovolemic shock.

• Wheezing: Wheezing is consistent with latex allergy due to airway hypersensitivity and bronchospasm. Respiratory compromise in latex allergy can progress rapidly if untreated. Wheezing is not typically seen in malignant hyperthermia or hypovolemic shock.

A. Platelet count B. Fibrinogen level C. aPTT D. INR

Correct Answer is D

Explanation

A. Platelet count: Platelet count evaluates clotting potential related to platelet number, but it is not used to monitor or dose warfarin therapy. Warfarin affects vitamin K–dependent clotting factors rather than platelets.

B. Fibrinogen level: Fibrinogen is a plasma protein essential for clot formation, but it is not used to guide warfarin therapy. Fibrinogen testing is more relevant in bleeding disorders or DIC, not routine anticoagulation management.

C. aPTT: Activated partial thromboplastin time (aPTT) is primarily used to monitor heparin therapy. Warfarin does not significantly alter aPTT, so this test is not appropriate for warfarin dose adjustments.

D. INR: The international normalized ratio (INR) standardizes prothrombin time and is the primary laboratory test used to monitor warfarin therapy. Reporting the INR allows the provider to safely adjust the daily warfarin dose to maintain therapeutic anticoagulation.

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Body System	Common Adverse Effects
Head, eyes, ears, nose, and throat (HEENT)	_____
Cardiovascular	_____
Genitourinary	_____
Gastrointestinal	_____

The nurse has reviewed the Nurses' Notes from 5 days ago. The nurse is providing discharge teaching to the client. Select the 3 statements the nurse should make.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative following a right hip arthroplasty. For each assessment finding, click to specify if the finding is consistent with Malignant hyperthermia, Latex allergy, or Hypovolemic shock. Each finding may support more than 1 disease process.

Correct Answer is {"A":{"answers":"A,C"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

A nurse is reporting a client's laboratory tests to the provider to obtain a prescription for the client's daily warfarin. Which of the following laboratory tests should the nurse plan to report to obtain the prescription for the warfarin?

Correct Answer is D

Explanation

A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan?

A nurse is assessing a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate 4 hr ago. The nurse notes pink-tinged urine in the drainage bag. Which of the following actions should the nurse take?

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A nurse is caring for a client who is 24 hr postpartum and is breastfeeding her newborn. The client asks the nurse to warm up seaweed soup that the client's partner brought for her. Which of the following responses should the nurse make?

A nurse in an emergency department is planning care for a client who has abdominal trauma from a motor-vehicle crash. Which of the following provider prescriptions should the nurse implement first?

The nurse has reviewed the Nurses' Notes from 5 days ago.

The nurse is providing discharge teaching to the client. Select the 3 statements the nurse should make.