A nurse at a provider's office is caring for a 24-year-old female client.

Exhibits

Complete the following sentence by using the lists of options. The nurse should prepare to reinforce teaching with the client about a Select: low-sodium diet with a prescription of Select: nifedipine.

Based on the information provided, the client is most likely experiencing C. Hyperemesis gravidarum. This condition is characterized by severe nausea and vomiting, which can lead to dehydration and electrolyte imbalances.

Actions to Take:

1. B. Inspect mucous membranes - To assess for signs of dehydration, such as dry mucous membranes.
2. D. Administer antiemetic medications - To help control nausea and vomiting.

Parameters to Monitor:

1. A. Electrolyte values - To monitor for any imbalances, especially given the low potassium level.
2. B. Urine ketones - To check for ketonuria, which can indicate severe vomiting and dehydration.

Choice A rationale

Chemotherapy is not a standard treatment for a molar pregnancy unless malignancy is suspected or confirmed. It is usually monitored with regular HCG levels and follow-up.

Choice B rationale

Attending a support group is crucial for emotional support and ensuring that the client has access to resources and information about recovery and future pregnancy planning.

Choice C rationale

Home palliative services are not typically required after a molar pregnancy unless there are specific complications that necessitate such care. The focus is generally on monitoring HCG levels and follow-up.

Choice D rationale

An amniocentesis is not needed after a molar pregnancy. Follow-up includes HCG level monitoring to ensure all molar tissue is gone and to watch for malignancy, not amniocentesis.