A nurse is caring for a client who is 24 hr postpartum and is breastfeeding her newborn. The client asks the nurse to warm up seaweed soup that the client's partner brought for her. Which of the following responses should the nurse make?
“The hospital food is more nutritious for you”
“Of course, I will heat that up for you."
"Why are you eating seaweed soup?”
“Does the doctor know that you are eating that?"
The Correct Answer is B
Rationale:
A. “The hospital food is more nutritious for you”: This response dismisses the client’s cultural preferences and assumes hospital food is superior without acknowledging personal or traditional choices, which may negatively affect rapport and trust.
B. “Of course, I will heat that up for you.” This response respects the client’s cultural beliefs and supports individualized postpartum care. Seaweed soup is a traditional food in some cultures believed to aid in postpartum recovery and milk production.
C. “Why are you eating seaweed soup?” Asking this without sensitivity can come off as judgmental or culturally insensitive. The client may feel criticized or misunderstood, even if the nurse is simply curious.
D. “Does the doctor know that you are eating that?” This implies that the food might be unsafe or needs medical approval, which can be perceived as disrespectful or unnecessary unless there’s a clinical reason for concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Ritualistic behavior: Ritualistic or compulsive behaviors are most commonly associated with obsessive-compulsive personality disorder or obsessive-compulsive disorder, not narcissistic personality disorder.
B. Suspicious of others: Suspiciousness and distrust are hallmark features of paranoid personality disorder. While individuals with narcissistic traits may be sensitive to criticism, they are not generally suspicious in a paranoid sense.
C. Exhibits separation anxiety: Separation anxiety and fear of being alone are typically seen in dependent personality disorder and sometimes borderline personality disorder, not narcissistic personality disorder.
D. Preoccupied with aging: Clients with narcissistic personality disorder are often highly concerned with maintaining a youthful and admired image. They may fear aging due to its association with loss of beauty, status, or power, making this the expected finding.
Correct Answer is C
Explanation
Rationale:
A. "Avoid high-fiber foods while taking this medication." High-fiber foods are encouraged when taking opioids like fentanyl due to the common side effect of constipation. Dietary fiber supports bowel function and should not be avoided.
B. "Apply the patch to your forearm." The patch should be applied to a flat, non-irritated area with minimal hair, such as the chest, back, or upper arm. The forearm is not the preferred site due to its mobility and smaller surface area.
C. "Avoid hot tubs while wearing the patch." Heat increases the absorption rate of transdermal fentanyl, potentially leading to overdose. Clients should avoid hot tubs, heating pads, or prolonged exposure to direct sunlight while wearing the patch.
D. "Remove the patch for 8 hours every day to reduce the risk of tolerance." Fentanyl patches are designed to provide continuous pain control and should not be removed intermittently. Removing the patch disrupts pain management and does not prevent tolerance, which is managed by medical adjustment if necessary.
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