A nurse is reinforcing dietary teaching with an adolescent who is at 10 weeks of gestation.
Which of the following statements should the nurse make?

"You need to limit your sodium intake to less than 2 grams per day."

"You should consume more than 40 milligrams of fiber each day."

"You need to drink 5 to 6 glasses of fluids each day."

"You should consume 1,300 milligrams of calcium each day."

Answer and Explanation

The Correct Answer is D

A.   Incorrect. While limiting sodium intake is important for overall health, it is not typically emphasized specifically during pregnancy unless there are specific medical indications.
B.   Incorrect. While fiber is important for digestive health, the focus during pregnancy is usually on ensuring an adequate intake of nutrients like iron, calcium, and folate.
C.   Incorrect. While staying hydrated is important during pregnancy, there is no specific recommendation for a set number of glasses of fluids per day. Fluid needs can vary depending on factors such as activity level, climate, and individual health status.
D.   Correct. Adequate calcium intake is crucial during pregnancy for the development of the baby's bones and teeth. The recommended daily intake of calcium for adolescents during pregnancy is 1,300 milligrams.

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Correct Answer is A

Explanation

A. This is the correct answer. Flushing the tubing with water after medication administration ensures that the medication reaches the stomach and prevents any residue from remaining in the tubing.
B. Clamping the tubing is not typically necessary after medication administration and may impede the flow of subsequent medications or enteral feedings.
C. While checking the patency of the tubing is important before medication administration, it is not specifically performed after administering the medication.
D. Aspirating the tubing after medication administration is not necessary and may disrupt the delivery of the medication into the stomach.

A. A client who has a head injury and whose pupils are fixed and dilated B. A client who has a dislocated shoulder and reports a pain level of 8 on a scale from 0 to 10 C. A client who has a 20.3-cm (8-in) scalp laceration with intermittent bleeding D. A client who has diminished breath sounds and paradoxical chest movement

Correct Answer is D

Explanation

A client who has a head injury and whose pupils are fixed and dilated: This client likely has a severe head injury with signs of increased intracranial pressure, which requires urgent intervention. However, airway and breathing take precedence over neurological status in triage. B. A client who has a dislocated shoulder and reports a pain level of 8 on a scale from 0 to 10: While this client is in pain, dislocated shoulder is not immediately life-threatening in the context of a mass casualty situation.
C. A client who has a 20.3-cm (8-in) scalp laceration with intermittent bleeding: Although this client has a significant laceration, it is not immediately life-threatening compared to compromised breathing.
D. A client who has diminished breath sounds and paradoxical chest movement: This client is likely experiencing a tension pneumothorax, a life-threatening condition that requires immediate intervention to decompress the chest and restore normal breathing.

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A nurse is reinforcing dietary teaching with an adolescent who is at 10 weeks of gestation. Which of the following statements should the nurse make?

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A nurse is reinforcing dietary teaching with an adolescent who is at 10 weeks of gestation.
Which of the following statements should the nurse make?