The nurse who is caring for a woman hospitalized for hyperemesis gravidarum would expect the initial treatment to involve what?
Intravenous (IV) therapy to correct fluid and electrolyte imbalances
Enteral nutrition to correct nutritional deficits
Corticosteroids to reduce inflammation
Antiemetic medication, such as pyridoxine, to control nausea and vomiting
The Correct Answer is A
A. Intravenous (IV) therapy to correct fluid and electrolyte imbalances: The primary concern in hyperemesis gravidarum is dehydration and electrolyte imbalances due to excessive vomiting. IV fluids are the first-line treatment to restore hydration and correct any imbalances.
B. Enteral nutrition to correct nutritional deficits: Enteral nutrition is considered if the client cannot tolerate oral intake after initial IV therapy, but it is not the first-line treatment.
C. Corticosteroids to reduce inflammation: Corticosteroids are not typically used for hyperemesis gravidarum. They may be considered in severe, refractory cases, but they are not part of the initial treatment.
D. Antiemetic medication, such as pyridoxine, to control nausea and vomiting: Although pyridoxine (vitamin B6) and antiemetics are commonly used to manage nausea, the initial priority is rehydration and correction of electrolyte imbalances before initiating oral medications.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Pyelonephritis in pregnancy does not pose any risks to the fetus. Pyelonephritis can lead to complications such as preterm labor, low birth weight, and maternal sepsis, making this statement incorrect.
B. Untreated pyelonephritis in pregnancy can increase the risk of preterm labor and low birth weight. Pyelonephritis can cause systemic inflammation, leading to complications such as preterm labor and fetal growth restriction. Prompt treatment is necessary to reduce these risks.
C. Pyelonephritis is a common condition during pregnancy. While urinary tract infections (UTIs) are common in pregnancy, pyelonephritis (kidney infection) is less frequent but more serious.
D. Pyelonephritis is a mild infection that does not require treatment. Pyelonephritis is a serious condition that requires immediate antibiotic therapy to prevent maternal and fetal complications.
Correct Answer is A
Explanation
A. Excessive carbohydrate intake: Many vegetarian protein sources (e.g., legumes, whole grains, fruits) are also high in carbohydrates, making blood sugar control more challenging for clients with gestational diabetes.
B. Difficulty managing blood sugar levels: While managing blood sugar can be a challenge, the root cause is often excessive carbohydrate intake rather than inherent difficulty in regulation.
C. Limited protein sources: While vegetarian diets limit animal protein, many plant-based protein sources (e.g., tofu, lentils, nuts) are available, making this less of a concern.
D. Lack of essential vitamins and minerals: A well-balanced vegetarian diet can provide all essential nutrients with proper planning. However, vegetarians should monitor vitamin B12, iron, and omega-3 intake, but this is not the biggest challenge specific to gestational diabetes.
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