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A nurse in an outpatient clinic is caring for a client.

Exhibits

Which of the following statements should the nurse include in the client's teaching? Select all that apply.

"You can douche twice weekly."

"Wear loose-fitting clothing."

"Wear flat or low-heeled shoes."

"Take hot showers to help relieve itching."

"You should avoid fried foods."

"Try using an abdominal support belt."

"Eat two large meals a day."

Answer and Explanation

Correct Answer : B,C,E,F

A.   Douching is not recommended during pregnancy as it can disrupt the natural balance of vaginal flora and increase the risk of infection.
B.   Loose-fitting clothing allows for better air circulation and can help prevent discomfort and irritation, especially with increased sweating and vaginal discharge during pregnancy.

C.   Flat or low-heeled shoes provide better support and stability, reducing the strain on the back and pelvis, which can alleviate backaches common during pregnancy.
D.   Hot showers can exacerbate itching, especially if the skin is already irritated.

Lukewarm or cool showers are preferable for relieving itching.

E.   Fried foods can contribute to heartburn and indigestion, which are common during pregnancy due to hormonal changes and increased pressure on the stomach from the growing uterus.
F.   An abdominal support belt can help alleviate backaches by providing additional support to the abdomen and reducing strain on the back muscles.
G.   Eating frequent, smaller meals throughout the day is recommended during pregnancy to help manage heartburn, prevent overeating, and maintain stable blood sugar levels.

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Correct Answer is ["B","C","E","G","H"]

Explanation

A. Nausea, while uncomfortable, is a common symptom during pregnancy and should be addressed, but it is not as urgent as the other symptoms in this context.

B. The deep tendon reflex (DTR) being 3+ bilaterally indicates hyperreflexia, which can be associated with conditions like preeclampsia, hence the need for follow-up.
C. The elevated blood pressure reading of 148/94 mm Hg is indicative of hypertension, which could be a sign of preeclampsia, a serious pregnancy complication.
D. The fetal heart tracing, while important, does not show immediate concern with a rate of 140/min, which is within normal limits.
E. The weight gain of 0.68 kg (1.5 lb) within the last week is significant and could be indicative of fluid retention, which is concerning in the context of the client's other symptoms.
F. The respiratory rate of 20/min falls within the normal range, and there are no other indications of respiratory distress or abnormalities in the assessment findings provided. Therefore, respiratory assessment is not a priority for follow-up at this time.
G. The fundal height measurement of 29 cm is appropriate for 30 weeks of gestation, but given the other symptoms, it should be monitored for any rapid changes.
H. The presence of 1+ dependent edema noted bilaterally suggests fluid retention, which is a concerning finding and warrants further assessment to evaluate for signs of preeclampsia or other complications.

A. "You should administer the medication before breakfast." B. "You should administer the medication at bedtime." C. "Your child should avoid foods containing tyramine." D. "Your child should avoid excess sodium intake."

Correct Answer is A

Explanation

A: Methylphenidate should be taken preferably 30 to 45 minutes before meals to reduce the risk of stomach upset. Furthermore, food interferes with its absorption.

B: Administering methylphenidate at bedtime is incorrect because it is a stimulant and can interfere with sleep.
C: Avoiding foods containing tyramine is not relevant for methylphenidate; it is more commonly a concern with certain antidepressants such as MAO inhibitors.
D: There is no need to avoid excess sodium intake specifically related to methylphenidate usage; this advice does not pertain to the side effects or interactions of the medication.

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A nurse in an outpatient clinic is caring for a client. Exhibits Which of the following statements should the nurse include in the client's teaching? Select all that apply.

Nursing Test Bank

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A nurse in an outpatient clinic is caring for a client.

Exhibits

Which of the following statements should the nurse include in the client's teaching? Select all that apply.