A nurse is planning eating strategies with a client who has nausea from equilibrium imbalance. Which of the following strategies should the nurse recommend?

Encourage the client to eat even if nauseated.

Provide low-fat carbohydrates with meals.

Serve hot foods at mealtime.

Limit fluid intake between meals.

Answer and Explanation

The Correct Answer is B

Answer: B. Provide low-fat carbohydrates with meals.

Rationale:

A) Encourage the client to eat even if nauseated: Forcing the client to eat while experiencing nausea may worsen symptoms and increase the risk of vomiting. It is more effective to recommend small, tolerable meals with specific types of food to help reduce nausea.

B) Provide low-fat carbohydrates with meals: Low-fat carbohydrates, such as crackers or toast, are easier to digest and less likely to trigger nausea. They can help stabilize the stomach and minimize nausea symptoms, making this strategy the most appropriate recommendation.

C) Serve hot foods at mealtime: Hot foods may produce strong odors that could exacerbate nausea. Instead, cool or room-temperature foods are often better tolerated by clients experiencing nausea.

D) Limit fluid intake between meals: While limiting fluids during meals can sometimes reduce bloating, hydration remains critical for clients with nausea. Recommending sips of fluids throughout the day is a better approach than restricting fluids between meals.

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Correct Answer is C

Explanation

C) Cephalhematoma:

A cephalhematoma is a collection of blood between the skull bone and its periosteum. It appears as a raised, bruised area on the scalp and is typically limited by suture lines. Unlike caput succedaneum, which typically resolves within a few days and crosses suture lines, a cephalhematoma does not cross suture lines and may take weeks to months to resolve.

A) Caput succedaneum:

Caput succedaneum is a localized swelling of the soft tissues of the scalp, usually resulting from pressure against the dilating cervix during labor. It typically crosses suture lines and resolves within a few days.

B) Pilonidal dimple:

A pilonidal dimple is a small pit or sinus in the sacrococcygeal area, not related to scalp findings.

D) Molding:

Molding refers to the shaping of the fetal head to adapt to the birth canal during labor and delivery. It is a temporary deformity and does not involve bruising or raised areas on the scalp.

A. "There are so many variables that you'll have to ask your obstetrician." B. "The primary consideration is what type of incision was performed this time." C. "A repeat cesarean birth is safer for both you and your baby." D. "It's too soon for you to be worrying about this now."

Correct Answer is B

Explanation

A. "There are so many variables that you'll have to ask your obstetrician."

This response dismisses the client's question and fails to provide helpful information. While the client should discuss their specific situation with their obstetrician, the nurse should still offer some general guidance or information.

B. "The primary consideration is what type of incision was performed this time."

This is the correct response because it provides relevant information to the client's question. The type of incision made during the cesarean birth can influence the options for future deliveries. For example, a low transverse incision may make a vaginal birth after cesarean (VBAC) more likely, whereas a vertical incision might increase the likelihood of needing a repeat cesarean.

C. "A repeat cesarean birth is safer for both you and your baby."

This statement may not be accurate for all clients and situations. While repeat cesarean births are sometimes recommended for medical reasons, such as certain pregnancy complications or a previous cesarean with a vertical incision, it is not necessarily the safest option for all clients. This response also lacks consideration of the client's individual circumstances.

D. "It's too soon for you to be worrying about this now."

This response invalidates the client's concerns and fails to address their question. It's important to validate the client's feelings and provide them with accurate information to address their concerns.

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A nurse is planning eating strategies with a client who has nausea from equilibrium imbalance. Which of the following strategies should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn the day after delivery. The nurse notes a raised, bruised area on the left side of the scalp that does not cross the suture line. How should the nurse document this finding?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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