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A client at 8-weeks gestation has a hemoglobin of 9.5 g/dl (5.9 mmol/L). Which nursing intervention has the highest priority?

Reference Range:

Hemoglobin (Hgb) [Pregnant female: greater than 11 g/dL (110 g/L)

A.

Instruct the client to add citrus fruits to diet.

B.

Explain this is expected in early pregnancy.

C.

Obtain an iron supplement prescription.

D.

Recommend increasing dietary iron-rich foods.

Answer and Explanation

The Correct Answer is C

A. Instruct the client to add citrus fruits to diet: While vitamin C helps with iron absorption, the primary concern here is the client's low hemoglobin, which requires iron supplementation to address the anemia.

B. Explain this is expected in early pregnancy: While mild anemia can occur during pregnancy, a hemoglobin of 9.5 g/dL is lower than the recommended threshold and requires intervention beyond reassurance.

C. Obtain an iron supplement prescription: The client's hemoglobin is below the expected range for pregnancy (greater than 11 g/dL), indicating anemia that requires iron supplementation to increase red blood cell production and improve oxygen delivery.

D. Recommend increasing dietary iron-rich foods: While dietary changes are beneficial, the priority should be initiating iron supplementation to address the anemia more effectively and quickly.


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Related Questions

Correct Answer is ["75"]

Explanation

Calculation:

Desired dose per hour = 3 grams/hour.

Total medication in the IV bag = 20 grams.

Total volume of the IV bag = 500 mL.

  • Calculate the concentration of the magnesium sulfate solution in grams per milliliter (g/mL).

Concentration = Total medication (g) / Total volume (mL)

= 20 g / 500 mL

= 0.04 g/mL.

  • Calculate the infusion rate in milliliters per hour (mL/hr).

Infusion rate (mL/hr) = Desired dose per hour (g/hr) / Concentration (g/mL)

= 3 g/hr / 0.04 g/mL

= 75 mL/hr.

Correct Answer is C

Explanation

A. It is necessary to remain in a side lying position: While positioning is important to relieve pressure on the cord, this is not the main concern for the client at this moment. The focus should be on explaining why a cesarean section is necessary for the baby's safety.

B. The baby can no longer be born vaginally: While this may be true in the case of a prolapsed cord, it may increase the client's fear unnecessarily. Instead, the nurse should focus on reassuring the client that a cesarean section is being done to ensure the safety of the baby.

C. A cesarean section is the safest route for the baby: This statement reassures the client that the emergency cesarean section is being performed for the safety of the baby, which can help reduce anxiety and confusion about the situation.

D. An explanation will be provided after the delivery: Delaying the explanation until after delivery can increase the client's anxiety. Providing clear, immediate information helps alleviate fear and empowers the client in the situation.

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