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 A

Explanation

A) Identify the client's motivation: Understanding the client's motivation for wanting to lose weight is crucial as it helps the nurse tailor interventions and support strategies to align with the client's goals and values. By identifying the client's motivation, the nurse can determine what drives the client's desire to lose weight, whether it's improving health, enhancing self-esteem, or addressing specific concerns. This information forms the foundation for developing an effective and individualized care plan.

B) Refer the client to a dietitian: While a referral to a dietitian is an important step in the weight loss process, it may not be the first action the nurse takes. Before making a referral, it's essential to assess the client's motivation, readiness to change, and current understanding of weight loss strategies. This information helps ensure that the dietitian can provide targeted guidance and support based on the client's specific needs and preferences.

C) Set a weight loss goal: Setting a weight loss goal is an important aspect of the weight loss journey; however, it typically occurs after assessing the client's motivation and readiness to change. Setting realistic and achievable goals collaboratively with the client allows for better engagement and commitment to the weight loss plan. Without understanding the client's motivation and readiness, setting a goal may not be meaningful or sustainable.

D) Discuss behavior modification: Behavior modification strategies play a crucial role in achieving and maintaining weight loss success. However, before discussing specific behavior modification techniques, it's essential to assess the client's motivation, barriers to change, and current behaviors. Understanding these factors helps tailor behavior modification strategies to address the client's unique needs and challenges effectively.

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 planning care for a client who wants to lose weight. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is caring for a client who delivered a healthy term newborn via cesarean birth. The client asks the nurse, "Is there a chance that I could deliver my next baby without having a cesarean section?" Which of the following responses should the nurse provide?

Correct Answer is B

Explanation

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