A nurse is providing nutritional teaching to a client who is at 10 weeks of gestation. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

"I should choose foods that contain saturated fat instead of monounsaturated fat."

"I should consume 30 grams of protein per day during my pregnancy."

"I should avoid eating soft cheeses during my pregnancy."

"I should limit my caffeine intake to 500 milligrams per day."

Answer and Explanation

The Correct Answer is C

Choice A reason: Choosing foods with saturated fat instead of monounsaturated fat is incorrect. Saturated fats increase cardiovascular risk and should be limited. Monounsaturated fats, such as those found in olive oil and avocados, are healthier options during pregnancy.

Choice B reason: Consuming only 30 grams of protein per day is insufficient. Pregnant clients require about 71 grams of protein daily to support fetal growth, maternal tissue expansion, and increased blood volume.

Choice C reason: Avoiding soft cheeses is correct because they can harbor Listeria monocytogenes, which poses a risk of miscarriage, stillbirth, or neonatal infection. Pregnant clients should avoid unpasteurized dairy products to reduce infection risk.

Choice D reason: Limiting caffeine intake to 500 mg per day is too high. The recommended limit is about 200 mg per day to reduce risks of miscarriage, low birth weight, and preterm birth.

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Correct Answer is B

Explanation

Choice A reason: A low immune system can cause a false negative, not a false positive. Immunocompromised clients may fail to mount a reaction to the test, leading to inaccurate results.

Choice B reason: Treatment for tuberculosis requires multiple medications (such as isoniazid, rifampin, pyrazinamide, and ethambutol) over several months to prevent resistance and ensure eradication. This statement reflects accurate understanding, making it correct.

Choice C reason: The tuberculin skin test is read once, 48–72 hours after placement. It is not repeated within that timeframe. A repeat test may be done weeks later in certain cases, but not immediately.

Choice D reason: Hospitalization is not standard unless the client has severe disease or cannot adhere to treatment. Most TB treatment is outpatient with strict medication adherence and monitoring.

A. Wear a mask while in the room with the toddler. B. Wipe the stethoscope with an alcohol-based gel after use. C. Place the toddler in a room with positive-pressure airflow. D. Schedule the toddler for private time in the playroom.

Correct Answer is A

Explanation

Choice A reason: Varicella zoster (chickenpox) is transmitted via airborne droplets and direct contact with lesions. The nurse must wear a mask to prevent inhalation of airborne particles. Airborne precautions are essential to protect healthcare workers and other patients from infection.

Choice B reason: Wiping the stethoscope with alcohol-based gel is a standard infection control practice, but it is not specific to varicella zoster precautions. While important, it does not address the airborne transmission risk.

Choice C reason: Positive-pressure airflow rooms are used for clients who need protection from outside contaminants, such as those who are immunocompromised. For airborne infections like varicella, negative-pressure rooms are indicated to prevent contaminated air from escaping into the hallway. Positive-pressure airflow would increase the risk of spreading the infection.

Choice D reason: Allowing private playroom time does not prevent transmission. The toddler should remain in isolation until lesions have crusted over to prevent spreading the virus. This option does not address infection control needs.

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A nurse is providing nutritional teaching to a client who is at 10 weeks of gestation. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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