A nurse is assessing a client who is at 11 weeks of gestation and reports drinking ginger tea.
Which of the following findings indicates the client's use of ginger tea is effective?
The client reports a decrease in episodes of nausea.
The client reports a decrease in breast tenderness.
The client reports a decrease in headaches.
The client reports a decrease in urinary frequency.
The Correct Answer is A
A is correct because ginger tea is an herbal remedy that has been shown to reduce nausea and vomiting in pregnancy.
B is incorrect because ginger tea does not have any effect on breast tenderness, which is a common symptom of pregnancy caused by hormonal changes.
C is incorrect because ginger tea does not have any effect on headaches, which can be caused by various factors such as dehydration, stress, or caffeine withdrawal in pregnancy.
D is incorrect because ginger tea does not have any effect on urinary frequency, which is a common symptom of pregnancy caused by increased blood volume and pressure on the bladder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Providing postmortem care for a client who has recently died does not require immediate intervention by the charge nurse, as it is a standard nursing responsibility to provide postmortem care with dignity and respect to the deceased client. The AP can proceed with this task independently.
Choice B rationale:
Performing a simple dressing change on a client's foot is within the scope of practice for an assistive personnel (AP) and does not require immediate intervention by the charge nurse, assuming the AP is competent and trained to perform this task.
Choice C rationale:
Washing hands with alcohol-based hand rub after bathing a client who has Clostridium difficile is a necessary infection control measure. The charge nurse does not need to intervene as long as the AP follows proper hand hygiene protocols. Using alcohol-based hand rub is effective in killing most bacteria and viruses, including C. difficile.
Choice D rationale:
Emptying an indwelling urinary catheter bag for a client while wearing clean gloves is inappropriate and requires immediate intervention by the charge nurse. It violates infection control protocols because the AP should wear disposable gloves when handling bodily fluids. Clean gloves are not sufficient for this task, as they do not provide adequate protection against the transmission of infections. The charge nurse should intervene, re-educate the AP, and ensure the correct protocol is followed to prevent the risk of infection transmission.
Correct Answer is B
Explanation
Choice A rationale:
Almonds are not typically associated with latex allergy or cross-sensitivity. Latex cross-reactivity is more commonly seen with certain fruits such as bananas, avocados, kiwis, and chestnuts.
Choice B rationale:
Bananas are known to be cross-reactive with latex allergy. Individuals allergic to latex are more likely to have allergies to certain fruits, including bananas. This cross-sensitivity occurs due to the structural similarity between latex proteins and proteins found in these fruits.
Choice C rationale:
Hazelnuts are not commonly associated with latex cross-reactivity. While some individuals with latex allergy may also be allergic to hazelnuts, it is not a high-risk food in the context of latex cross-sensitivity.
Choice D rationale:
Strawberries are not typically associated with latex allergy or cross-reactivity. Latex cross-reactivity is more commonly seen with fruits like bananas, avocados, kiwis, and chestnuts. Strawberries are not among the high-risk foods for individuals with latex allergy.
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