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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Weigh the client before and after the procedure: Monitoring the client’s weight before and after paracentesis provides an objective measure of the volume of fluid removed. This helps evaluate the effectiveness of the procedure and assess for complications such as fluid shifts or hypotension.
B. Administer a low-volume hypertonic enema the night before the procedure: Bowel cleansing is not required for paracentesis, as the procedure targets the peritoneal cavity, not the gastrointestinal tract. Administering an enema could cause unnecessary discomfort without benefit.
C. Ensure the client has a full bladder just prior to the procedure: A full bladder increases the risk of puncture during paracentesis. Clients are typically advised to void before the procedure to minimize the risk of bladder injury.
D. Place the client in a side-lying position for the procedure: Paracentesis is usually performed with the client in a sitting position, leaning slightly forward, or in a supine position with the head of the bed elevated. Side-lying positioning does not provide optimal access to the fluid-filled peritoneal cavity.
Correct Answer is B
Explanation
A. Ask a nursing student who speaks the same language as the client to translate: Using untrained staff, including students, for translation can lead to miscommunication and potential errors in care. Professional interpreters are trained to accurately convey medical information and maintain confidentiality.
B. Ask the client if they would prefer a translator who is the same gender: This approach respects the client’s cultural and personal preferences, enhancing comfort and communication effectiveness. Using a qualified interpreter of the preferred gender helps ensure accurate and sensitive communication.
C. Use a website with a ".com" URL to translate for the client: Online translation tools are unreliable for medical communication because they can misinterpret terminology, leading to errors in care and potential harm. They do not meet professional standards for healthcare translation.
D. Request a family member of the client to translate: Family members may lack medical knowledge and can introduce bias, misinterpretation, or withhold information. Confidentiality and accuracy are better maintained by using professional interpreters.
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