A nurse is collecting data from a client who is at 12 weeks of gestation. The client states, "We've been trying to get pregnant for several months. but now I'm not sure I'm ready." Which of the following responses should the nurse make?

"You need to talk to a therapist about how you're feeling”

"I wouldn't worry about it if I were you. You'll be a good mother.”

"Why do you feel that way if you've been trying to get pregnant?"

"Many women experience feelings of ambivalence during pregnancy."

Answer and Explanation

The Correct Answer is D

A. "You need to talk to a therapist about how you're feeling.": Referring to a therapist may be appropriate later if needed, but this response does not validate the client’s feelings or provide immediate emotional support. It may also make the client feel dismissed.

B. "Wouldn't worry about it if I were you. You'll be a good mother.": This response minimizes the client’s feelings and provides reassurance rather than acknowledging their ambivalence. Minimization can inhibit open communication and does not promote therapeutic rapport.

C. "Why do you feel that way if you've been trying to get pregnant?": Asking "why" can come across as judgmental or confrontational and may make the client defensive. It does not provide support or normalize the experience of mixed emotions.

D. "Many women experience feelings of ambivalence during pregnancy.": This response normalizes the client’s feelings, validating their experience without judgment. It encourages open discussion and helps the client feel understood, which is a key aspect of therapeutic communication.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Wheat bread: Wheat bread is relatively low in potassium compared with fruits, vegetables, and juices. It is generally appropriate for clients who require potassium restriction due to renal disease or certain electrolyte imbalances.

B. Orange juice: Orange juice is high in potassium and can significantly increase serum potassium levels. It is commonly restricted in clients who must limit potassium intake to prevent hyperkalemia.

C. Sweet potato: Sweet potatoes contain a high amount of potassium, especially when baked or mashed. They are typically avoided in low-potassium diets because they can rapidly elevate potassium levels.

D. Canned green beans: Although canned vegetables have less potassium than fresh ones due to processing, green beans still contain more potassium than wheat bread. They are not the lowest potassium option.

A. Blurred vision B. Leg cramps C. Urinary frequency D. Gingivitis

Correct Answer is A

Explanation

A. Blurred vision: Blurred vision during the third trimester can indicate a serious complication such as preeclampsia, which requires immediate reporting. It may signal elevated blood pressure and possible central nervous system involvement. Prompt communication with the provider is essential for maternal and fetal safety.

B. Leg cramps: Leg cramps are a common discomfort during pregnancy due to changes in circulation and pressure from the growing uterus. While uncomfortable, they are not considered an urgent finding that requires reporting.

C. Urinary frequency: Increased urinary frequency is typical in the third trimester as the enlarging uterus places pressure on the bladder. This is expected and usually does not indicate a complication unless accompanied by other symptoms such as pain or dysuria.

D. Gingivitis: Hormonal changes during pregnancy can lead to gum inflammation and bleeding. While oral care should be reinforced, gingivitis is a common, non-urgent finding and does not require immediate reporting to the provider.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is collecting data from a client who is at 12 weeks of gestation. The client states, "We've been trying to get pregnant for several months. but now I'm not sure I'm ready." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has an electrolyte imbalance. Which of the following foods should the nurse include as the lowest in potassium?

Correct Answer is A

Explanation

A nurse is collecting data from a client who is at 35 weeks of gestation. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who has a new prescription for epinephrine auto-injector PRN. The nurse should reinforce with the client that the medication can help treat which of the following manifestations?

A nurse is assisting with a prenatal examination of a client who is at weeks of gestation. The nurse notes that the client's vagina and vulva are a purplish color. The nurse should document this finding as which of the following?

The nurse is assisting in the care of the client who is at 30 weeks of gestation. Click to specify which of the following actions the nurse should recommend including in the client's plan of care. Select all that apply.

A nurse is reinforcing teaching with a client who has a new prescription for enoxaparin. The nurse should identify which of the following over-the- counter products as unsafe for use with enoxaparin?

A nurse is reinforcing teaching with a client who has a urinary tract infection. Which of the following instructions should the nurse include in the teaching?

A nurse is reinforcing teaching with a parent of a child who has asthma about the administration of montelukast. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is contributing to the plan of care for a client who has herpes simplex. The nurse should plan to initiate which of the following isolation procedures when caring for this client?

A nurse is evaluating an 8-month-old infant's pain level following the administration of hydrocodone. Which of the following pain scales would the nurse use?