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A nurse is caring for a client who is at 26 weeks of gestation. Which of the following statements indicates the client is having difficulty accepting the body image changes associated with pregnancy?

A.

"I've been wearing the same few things every day because most of my clothes don't fit anymore."

B.

"Dressing up for work is a little harder now that I can't wear high heels."

C.

"I've had to start wearing nursing bras already because my breasts are growing so much."

D.

"When I wear high-top yoga pants, they hold my belly in so you can't even tell I'm pregnant."

Answer and Explanation

The Correct Answer is D

A. "I've been wearing the same few things every day because most of my clothes don't fit anymore." This statement reflects a common experience during pregnancy as the body changes. While it may indicate some frustration, it does not necessarily suggest difficulty accepting body image changes.
B. "Dressing up for work is a little harder now that I can't wear high heels." This statement acknowledges an adjustment in clothing choices due to pregnancy but does not indicate distress about body image. Many individuals modify their footwear for comfort and safety as pregnancy progresses.
C. "I've had to start wearing nursing bras already because my breasts are growing so much." This statement reflects awareness of bodily changes rather than difficulty accepting them. Breast enlargement is a normal part of pregnancy, and choosing appropriate clothing to accommodate these changes suggests adaptation rather than distress.
D. "When I wear high-top yoga pants, they hold my belly in so you can't even tell I'm pregnant." This statement suggests an attempt to conceal the pregnancy, which may indicate discomfort with body image changes. Actively trying to hide the pregnancy rather than embracing the natural progression of body changes can be a sign of difficulty accepting the physical transformation.


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Related Questions

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A,C"},"C":{"answers":"C"},"D":{"answers":"C"},"E":{"answers":"B"},"F":{"answers":"A,B"},"G":{"answers":"B,C"}}

Explanation

  • Calcium level: Decreased due to furosemide, a loop diuretic that increases calcium excretion in the urine, leading to mild hypocalcemia.
  • Potassium level: Decreased due to furosemide, which causes potassium loss through diuresis. Lisinopril, an ACE inhibitor, can cause potassium retention, but in this case, the effect of furosemide dominates.
  • Sodium level: Decreased due to furosemide-induced diuresis, which can lead to hyponatremia by excessive sodium loss.
  • Edema: Improved due to furosemide, which promotes fluid removal and reduces volume overload associated with heart failure.
  • Oxygen saturation: Improved due to carvedilol, which reduces heart failure symptoms by decreasing myocardial oxygen demand and improving cardiac output.
  • Blood pressure: Lowered due to both carvedilol (a beta-blocker) and lisinopril (an ACE inhibitor), both of which reduce systemic vascular resistance.
  • Weight: Decreased due to both carvedilol, which helps manage fluid retention over time in heart failure, and furosemide, which directly reduces fluid overload through diuresis.

Correct Answer is D

Explanation

A. The client is assigned to a room with negative airflow. Negative airflow rooms are used for airborne infection isolation, such as for tuberculosis, not for neutropenic clients. Neutropenic clients should be placed in a positive airflow room to reduce exposure to airborne pathogens.
B. The client has artificial flowers in the room. Fresh flowers and potted plants can harbor bacteria and fungi, increasing the risk of infection. However, artificial flowers do not pose this risk and are generally considered safe.
C. The client's meal tray contains hard-boiled eggs. Fully cooked eggs are safe for neutropenic clients. Raw or undercooked eggs, such as those in soft-boiled or poached form, should be avoided due to the risk of bacterial contamination.
D. The client's meal tray includes ice cream with fresh fruit. Fresh fruit can harbor bacteria and fungi that pose a risk of infection for neutropenic clients. Unless thoroughly washed and peeled, raw fruits and vegetables should be avoided to minimize the risk of exposure to harmful pathogens.

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